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DR. BERNARD JAY ASDELL D.D.S.

Oral and Maxillofacial Surgery >> Dentist >> Dental Providers

Registrant NPI Number: 1801890520

Individual Registrant:
DR. BERNARD JAY ASDELL D.D.S.
Gender: M
Sole Proprietor

Location and contact information for practice:
707 N MICHIGAN ST STE 300 SOUTH BEND, IN 46601-1070 US
Tel: 574-289-0080  Fax: 574-287-6320

Contact information for business:
707 N MICHIGAN ST SUITE 300 SOUTH BEND, IN 46601 US
Tel: 574-289-0080  Fax: 574-287-6320

Registration Information:
NPI: 1801890520
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223S0112XDental Providers
Dentist
Oral and Maxillofacial Surgery
IN12008287

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
100090950IN05




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