42 NORTH DENTAL CARE OF INDIANA, LLC

ELKHART, IN
NPI1477254399
Doing Business AsGREENLEAF FAMILY DENTISTRY
Entity TypeOrganization
Authorized ContactMICHAEL ANGELO SCIALABBA
Chief Dental Officer
561-512-2709
Organization Subpart ?Yes
Primary Taxonomy261QD0000X Clinic/Center, Dental
Enumeration Date2023-03-16
Last Update Date2023-03-16
Business Address
42 NORTH DENTAL CARE OF INDIANA, LLC
1520 OSOLO RD
ELKHART, IN 46514-4122
Phone number: 574-262-9619
Mailing Address
42 NORTH DENTAL CARE OF INDIANA, LLC
200 5TH AVE FL 3
WALTHAM, MA 02451-8759
Phone number: