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1629712054
FORT WAYNE FAMILY DENTISTRY INC
FORT WAYNE, IN
NPI
1629712054
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Entity Type
Organization
Authorized Contact
OPAL ANDERSON
Manager
440-823-6790
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2022-04-22
Last Update Date
2022-04-22
Business Address
FORT WAYNE FAMILY DENTISTRY INC
6126 TRIER RD
FORT WAYNE, IN 46815-5339
Phone number: 440-823-6790
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Mailing Address
FORT WAYNE FAMILY DENTISTRY INC
33300 WARREN RD STE 29
WESTLAND, MI 48185-9627
Phone number:
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