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1053408609
PERIODONTICS LIMITED
FORT WAYNE, IN
NPI
1053408609
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Entity Type
Organization
Authorized Contact
LLOYD J. HAGEDORN
Senior Partner
260-432-0577
Organization Subpart ?
No
Primary Taxonomy
1223P0300X Dentist, Periodontics
Enumeration Date
2006-10-06
Last Update Date
2020-08-22
Business Address
PERIODONTICS LIMITED
7750 W JEFFERSON BLVD
FORT WAYNE, IN 46804-4174
Phone number: 260-432-0577
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Mailing Address
PERIODONTICS LIMITED
7750 W JEFFERSON BLVD
FORT WAYNE, IN 46804-4174
Phone number: 260-432-0577
Copy
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