SUMMIT CITY SMILES

FORT WAYNE, IN
NPI1083080386
Entity TypeOrganization
Authorized ContactROGER PAUL VALLIERE
President
260-484-5614
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
Enumeration Date2015-08-20
Last Update Date2015-08-20
Business Address
SUMMIT CITY SMILES
1330 E STATE BLVD
FORT WAYNE, IN 46805-4422
Phone number: 260-484-5614
Mailing Address
SUMMIT CITY SMILES
1330 E STATE BLVD
FORT WAYNE, IN 46805-4422
Phone number: 260-484-5614
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