ROGER PAUL VALLIERE

FORT WAYNE, IN
NPI1013116706
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: IN  12010249A)
Enumeration Date2007-07-13
Last Update Date2017-06-29
Business Address
Dr. ROGER PAUL VALLIERE D.D.S.
1330 E STATE BLVD
FORT WAYNE, IN 46805-4422
Phone number: 260-484-5614
Mailing Address
Dr. ROGER PAUL VALLIERE D.D.S.
1330 E STATE BLVD
FORT WAYNE, IN 46805-4422
Phone number: 260-484-5614