FAMILIA DENTAL SPFW PLLC

FORT WAYNE, IN
NPI1619388063
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 Date2014-05-19
Last Update Date2021-10-15
Business Address
FAMILIA DENTAL SPFW PLLC
100 E PETTIT AVE 1A
FORT WAYNE, IN 46806-3003
Phone number: 888-988-4066
Mailing Address
FAMILIA DENTAL SPFW PLLC
2050 E ALGONQUIN RD SUITE 610
SCHAUMBURG, IL 60173-4144
Phone number: 888-988-4066