DUSTIN DURNELL

SOUTH BEND, IN
NPI1528550688
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IN  12013563A)
Enumeration Date2018-06-05
Last Update Date2023-05-31
Business Address
DUSTIN DURNELL
17490 STATE ROAD 23
SOUTH BEND, IN 46635-1743
Phone number: 574-271-9000
Mailing Address
DUSTIN DURNELL
17490 STATE ROAD 23
SOUTH BEND, IN 46635-1743
Phone number: 574-271-9000