institution
Miracle Lane Family Dentistry P.c.
Dental Clinic/Center in Mishawaka, Indiana
NPI 1093122418

Miracle Lane Family Dentistry P.c. is a Dental Clinic/Center based in Mishawaka, IN and is specialized in Dental. Miracle Lane Family Dentistry P.c. practices in Mishawaka, IN. The NPI Number for Miracle Lane Family Dentistry P.c. is 1093122418 and holds a License No. 54001789A (Indiana).

The current practice location address for Miracle Lane Family Dentistry P.c. is 2332 Miracle Ln, Mishawaka, IN and can be reached out via phone at 574-259-5437 and via fax at 574-259-5438.

Location: 2332 Miracle Ln, Mishawaka, IN, 46545-3012
institution
Provider Profile Details
NPI Number
1093122418
Provider Name
Miracle Lane Family Dentistry P.c.
Credential
Provider Entity Type
Organization
Address
2332 Miracle Ln, Mishawaka, IN, 46545-3012
Phone Number
574-259-5437
Fax Number
574-259-5438
Provider Enumeration Date
07/17/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2332 Miracle Ln
City
State
Zip
46545-3012
Phone Number
574-259-5437
Fax Number
574-259-5438
person
Provider Business Mailing Address Details
Address
2332 Miracle Ln
City
State
Zip
46545-3012
Phone Number
574-259-5437
Fax Number
574-259-5438
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
54001789A (Indiana)
Definition
Definition to come...
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