Individual
ALON SHEMESH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
17455 DOUGLAS RD, SOUTH BEND, IN 46635
(574) 243-5586
Mailing address
18380 GREENLEAF DR, SOUTH BEND, IN 46637
(574) 273-1811
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12010334
IN
Other
Enumeration date
11/27/2006
Last updated
07/08/2007
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