OMNI DENTAL PC

FORT WAYNE, IN
NPI1437602521
Entity TypeOrganization
Authorized ContactTESSA C CREAGER
President/Owner
260-203-4920
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
(Licence: IN  12011483A)
Enumeration Date2016-07-26
Last Update Date2016-12-13
Business Address
OMNI DENTAL PC
10020 DUPONT CIRCLE CT STE 150
FORT WAYNE, IN 46825-1620
Phone number: 260-203-4920
Mailing Address
OMNI DENTAL PC
10020 DUPONT CIRCLE CT STE 150
FORT WAYNE, IN 46825-1620
Phone number: 260-203-4920
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