FAMILIA DENTAL FORT WAYNE PLLC

FORT WAYNE, IN
NPI1467792663
Doing Business AsFAMILIA DENTAL
Entity TypeOrganization
Authorized ContactBRANDON ALEXANDER TAYLOR
Credentialing Payer Relations Mgr
847-453-7396
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center Dental
Enumeration Date2013-02-25
Last Update Date2021-10-15
Business Address
FAMILIA DENTAL FORT WAYNE PLLC
5328 COLDWATER RD
FORT WAYNE, IN 46825-5445
Phone number: 888-988-4066
Mailing Address
FAMILIA DENTAL FORT WAYNE PLLC
2050 E ALGONQUIN RD 610
SCHAUMBURG, IL 60173-4144
Phone number: 888-988-4066