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1447410501
PERIODONTIC SPECIALISTS, P.C.
FORT WAYNE, IN
NPI
1447410501
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Entity Type
Organization
Authorized Contact
LEAH GABREK
Operating Secretary
260-432-0577
Organization Subpart ?
No
Primary Taxonomy
1223P0300X Dentist Periodontics
Enumeration Date
2008-06-12
Last Update Date
2008-06-12
Business Address
PERIODONTIC SPECIALISTS, P.C.
7750 W JEFFERSON BLVD
FORT WAYNE, IN 46804-4174
Phone number: 260-432-0577
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Mailing Address
PERIODONTIC SPECIALISTS, P.C.
7750 W JEFFERSON BLVD
FORT WAYNE, IN 46804-4174
Phone number: 260-432-0577
Copy
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