| NPI | 1366579005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEANNA O'NEIL President South Bend Childrens Dent 574-288-4400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2013-01-31 |