Organization
MERCY SEAT DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NKECHI AWELE WAN DDS (PRESIDENT)
(260) 823-3328
Entity
Organization
Contact information
Practice address
2155 COMMERCE DRIVE, BLUFFTON, IN 46714
(260) 823-3328
(260) 353-1555
Mailing address
2155 COMMERCE DRIVE, BLUFFTON, IN 46714
(260) 823-3328
(260) 353-1555
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
124Q00000X
Dental Hygienist
—
—
126800000X
Dental Assistant
—
—
Other
Enumeration date
05/20/2015
Last updated
05/20/2015
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