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1528550688
DUSTIN DURNELL
SOUTH BEND, IN
NPI
1528550688
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IN 12013563A)
Enumeration Date
2018-06-05
Last Update Date
2023-05-31
Business Address
DUSTIN DURNELL
17490 STATE ROAD 23
SOUTH BEND, IN 46635-1743
Phone number: 574-271-9000
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Mailing Address
DUSTIN DURNELL
17490 STATE ROAD 23
SOUTH BEND, IN 46635-1743
Phone number: 574-271-9000
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