| NPI | 1760182232 |
|---|---|
| Doing Business As | SOUTH BEND DENTAL & ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | RONALD C ABARO Chief Medical Officer 574-221-8841 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2023-03-03 |
| Last Update Date | 2023-03-03 |