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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MIRACLE LANE FAMILY DENTISTRY P.C.

Active Organization

MIRACLE LANE FAMILY DENTISTRY P.C. is a Dental Clinic organization located in MISHAWAKA, Indiana. NPI 1093122418 is currently active in the NPPES registry. Verify at CMS.

Dental Clinic · MISHAWAKA, IN

Registration Details

NPI Number
1093122418
Provider Type
Organization
NPI Issued
Jul 17, 2014 (12.115285370583 yrs)
Last Updated
Jul 17, 2014
License
54001789A (IN)

Practice Information

Address
2332 MIRACLE LN
MISHAWAKA, IN, 465453012
Browse IN providers · Browse ZIP 46545
Phone
5742595437
Fax
5742595438
Primary Specialty
Dental Clinic
261QD0000X

Other Dental Clinic Organizations in MISHAWAKA, IN

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.