Individual
DR. MAI LINH T REGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
3560 ELKHART RD, GOSHEN, IN 46526-5814
(574) 875-7711
Mailing address
51208 RADCLIFFE CT, SOUTH BEND, IN 46637-6046
(617) 504-8718
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12013660A
IN
Other
Enumeration date
01/07/2011
Last updated
10/24/2022
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