FAMILY DENTISTRY & AESTHETIC INC

FORT WAYNE, IN
NPI1457462590
Other NameTHOMAS T TEEL THOMAS M GILBERT & CATHERINE N PERIOLAT
Entity TypeOrganization
Authorized ContactTHOMAS T TEEL
Owner President
260-432-0561
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IN  12009882)
Additional Taxonomies1223G0001X Dentist, General Practice
(Licence: IN  9047)
1223G0001X Dentist, General Practice
(Licence: IN  9757)
Enumeration Date2006-08-31
Last Update Date2020-08-22
Business Address
FAMILY DENTISTRY & AESTHETIC INC
4626 WEST JEFFERSON BLVD
FORT WAYNE, IN 46804
Phone number: 260-432-0561
Mailing Address
FAMILY DENTISTRY & AESTHETIC INC
4626 WEST JEFFERSON BLVD
FORT WAYNE, IN 46804
Phone number: 260-432-0561