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1518488006
BRENDAN O'HARA
FORT WAYNE, IN
NPI
1518488006
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IN 12012785A)
Enumeration Date
2017-07-05
Last Update Date
2017-07-05
Business Address
Dr. BRENDAN O'HARA DMD
4302 E STATE BLVD
FORT WAYNE, IN 46815-6988
Phone number: 260-484-3136
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Mailing Address
Dr. BRENDAN O'HARA DMD
4302 E STATE BLVD
FORT WAYNE, IN 46815-6988
Phone number:
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