Organization
SELECT DENTISTRY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID MICHAEL FOLLIS DDS (PRESIDENT)
(574) 514-8746
Entity
Organization
Contact information
Practice address
1422 LINCOLN WAY E, SOUTH BEND, IN 46613-3250
(574) 232-8888
Mailing address
1422 LINCOLN WAY E, SOUTH BEND, IN 46613-3250
(574) 232-8888
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12010354A
IN
Other
Enumeration date
10/21/2007
Last updated
10/21/2007
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