IndividualActive
Mary Cruz Aguilar, DENTAL HYGIENIST
NPI 1659985497 · Dental Hygienist · South Bend, IN
Provider details
- NPI number
- 1659985497
- Entity type
- Individual
- Primary specialty
- Dental HygienistDental Providers
- Credential
- DENTAL HYGIENIST
- Sex
- Female
- Sole proprietor
- No
- License
- 13007812A (IN)
Specialties & taxonomies
Dental Providers
Practice location
1901 W Western Ave Ste B
South Bend, IN 46619-3570
Phone: (574) 234-9033
Approximate (ZIP-level) locationGet directions
Mailing address
1901b W Western Ave # B
South Bend, IN 46619-3521
Registry dates
- Enumerated
- 2020-08-31
- Last updated
- 2020-08-31
- Certified
- 2020-08-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.