BRETT MICHAEL DISALLE

FORT WAYNE, IN
NPI1609962646
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: IN  12009812)
Enumeration Date2006-10-05
Last Update Date2007-07-08
Business Address
DR. BRETT MICHAEL DISALLE DDS
2121 LAKE AVE
FORT WAYNE, IN 46805-5100
Phone number: 260-460-1353
Mailing Address
DR. BRETT MICHAEL DISALLE DDS
430 AUGUSTA WAY
FORT WAYNE, IN 46825-2175
Phone number: 260-497-9615
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