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1851471510
JEFFREY S MADER
SOUTH BEND, IN
NPI
1851471510
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IN 12009190)
Enumeration Date
2006-10-17
Last Update Date
2007-07-08
Business Address
Dr. JEFFREY S MADER D.D.S.
17490 STATE ROAD 23
SOUTH BEND, IN 46635-1743
Phone number: 574-271-9000
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Mailing Address
Dr. JEFFREY S MADER D.D.S.
17490 STATE ROAD 23
SOUTH BEND, IN 46635-1743
Phone number: 574-271-9000
Copy
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