BRENDAN O'HARA

FORT WAYNE, IN
NPI1518488006
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IN  12012785A)
Enumeration Date2017-07-05
Last Update Date2017-07-05
Business Address
Dr. BRENDAN O'HARA DMD
4302 E STATE BLVD
FORT WAYNE, IN 46815-6988
Phone number: 260-484-3136
Mailing Address
Dr. BRENDAN O'HARA DMD
4302 E STATE BLVD
FORT WAYNE, IN 46815-6988
Phone number: