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1083265433
FORT WAYNE ENDODONTICS
FORT WAYNE, IN
NPI
1083265433
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Entity Type
Organization
Authorized Contact
JASON P GLASSLEY
President
260-436-5772
Organization Subpart ?
No
Primary Taxonomy
1223E0200X Dentist, Endodontics
Enumeration Date
2019-09-26
Last Update Date
2019-09-26
Business Address
FORT WAYNE ENDODONTICS
9407 ILLINOIS RD
FORT WAYNE, IN 46804
Phone number: 260-436-5772
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Mailing Address
FORT WAYNE ENDODONTICS
9407 ILLINOIS RD
FORT WAYNE, IN 46804
Phone number: 260-436-5772
Copy
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