MICHAEL THOMAS TOM

FORT WAYNE, IN
NPI1477558138
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: IN  12010084A)
Enumeration Date2005-06-17
Last Update Date2007-07-08
Business Address
Dr. MICHAEL THOMAS TOM D.D.S.
1220 MEDICAL PARK DR STE 1
FORT WAYNE, IN 46825-5843
Phone number: 260-482-9196
Mailing Address
Dr. MICHAEL THOMAS TOM D.D.S.
1220 MEDICAL PARK DR STE 1
FORT WAYNE, IN 46825-5843
Phone number: 260-482-9196
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