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1164016127
INDIANA PEDIATRIC DENTAL & ANESTHESIA LLC
FORT WAYNE, IN
NPI
1164016127
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Entity Type
Organization
Authorized Contact
LUCIAN DAN BOBOIA
Owner
512-902-9997
Organization Subpart ?
No
Primary Taxonomy
1223P0221X Dentist, Pediatric Dentistry
Enumeration Date
2021-02-21
Last Update Date
2021-02-21
Business Address
INDIANA PEDIATRIC DENTAL & ANESTHESIA LLC
3030 LAKE AVE STE 15
FORT WAYNE, IN 46805-5428
Phone number: 512-902-9997
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Mailing Address
INDIANA PEDIATRIC DENTAL & ANESTHESIA LLC
3030 LAKE AVE STE 15
FORT WAYNE, IN 46805-5428
Phone number: 512-902-9997
Copy
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