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1053199539
PRIME DENTAL CARE LLC
FORT WAYNE, IN
NPI
1053199539
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Entity Type
Organization
Authorized Contact
VIJAY KUMAR GODI
Dentist
419-788-5803
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist General Practice
Enumeration Date
2023-09-18
Last Update Date
2023-09-18
Business Address
PRIME DENTAL CARE LLC
435 W COLISEUM BLVD
FORT WAYNE, IN 46805-1010
Phone number: 260-263-6200
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Mailing Address
PRIME DENTAL CARE LLC
3210 TROUTWOOD DR
FORT WAYNE, IN 46818-8791
Phone number: 419-788-5803
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