Organization
AFFILIATED FAMILY DENTISTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHARYL KRIVAK (TREATMENT COORDINATOR)
(574) 277-2220
Entity
Organization
Contact information
Practice address
605 W DOUGLAS ROAD, MISHAWAKA, IN 46545
(574) 277-2220
(574) 277-8108
Mailing address
605 W DOUGLAS ROAD, MISHAWAKA, IN 46545
(574) 277-2220
(574) 277-8108
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
02/20/2007
Last updated
01/24/2011
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