SearchIndiana1223G0001X

Rekha Rethiyamma, DMD

NPI 1730461203 · on the registry since 2011

Practice

Address
2332 Miracle Ln
Mishawaka, IN 46545
Phone
(574) 259-5437
Organisation at this address
Miracle Lane Family Dentistry P.C.
South Bend Smiles Youth Dentistry, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Licence states on file
KY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2011-09-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana