Individual
ANDREA RAMTHUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1002 S ESTHER ST, SOUTH BEND, IN 46615-1440
(574) 307-7673
(574) 234-4705
Mailing address
1002 S ESTHER ST, SOUTH BEND, IN 46615-1440
(574) 307-7673
(574) 234-4705
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12012989A
IN
122300000X
Dentist
2901021848
MI
1223G0001X
General Practice Dentistry
12012989A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300016368
—
IN
Enumeration date
06/14/2016
Last updated
01/28/2019
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