LANE TREMELLING HAWS DMD, MD
Individual Provider (NPI-1)
Active
Dentist, Oral and Maxillofacial Surgery
Provider Information
- NPI Number
1316409147- Provider Type
- Individual Provider (NPI-1)
- Credentials
- DMD, MD
- Status
- Active
Contact & Location
- Address
- 3367 DOUGLAS RD, SOUTH BEND, IN, 466351779
- Phone
- (574) 272-8823
Specialties & Taxonomies
Dentist, Oral and Maxillofacial Surgery
Primary License: IN #12014659A