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1730624529
MISHAWAKA DENTAL LLC
MISHAWAKA, IN
NPI
1730624529
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Entity Type
Organization
Authorized Contact
HEATHER KRAUSHAAR
Psr
315-454-6000
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: IN 12012619A)
Enumeration Date
2017-01-03
Last Update Date
2017-01-03
Business Address
MISHAWAKA DENTAL LLC
4170 GRAPE RD
MISHAWAKA, IN 46545-2610
Phone number: 574-272-4200
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Mailing Address
MISHAWAKA DENTAL LLC
PO BOX 3189
SYRACUSE, NY 13220-3189
Phone number:
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