Organization
GEORGE A MIGHION DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE A MIGHION DDS (PRESIDENT/OWNER)
(574) 256-1579
Entity
Organization
Contact information
Practice address
3420 HICKORY RD, MISHAWAKA, IN 46545-8804
(574) 315-0981
Mailing address
3420 HICKORY RD, MISHAWAKA, IN 46545-8804
(574) 315-0981
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
12009876
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200196930A
—
IN
Enumeration date
08/25/2015
Last updated
08/25/2015
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