MICHIANA FAMILY DENTAL LLC

SOUTH BEND, IN
NPI1467946467
Entity TypeOrganization
Authorized ContactSRINIVAS R DURSHANAPALLI
Owner
203-215-4687
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
Enumeration Date2018-06-22
Last Update Date2020-09-17
Business Address
MICHIANA FAMILY DENTAL LLC
3575 PORTAGE AVE
SOUTH BEND, IN 46628-6092
Phone number: 203-215-4687
Mailing Address
MICHIANA FAMILY DENTAL LLC
3575 PORTAGE AVE
SOUTH BEND, IN 46628-6092
Phone number:
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