FORT WAYNE ORAL MAXILLOFACIAL SURGERY & IMPLANT CENTER, LLC

FORT WAYNE, IN
NPI1649347832
Entity TypeOrganization
Authorized ContactMULOKOZI K. LUGAKINGIRA
President
260-490-2013
Organization Subpart ?No
Primary Taxonomy1223S0112X Dentist, Oral and Maxillofacial Surgery
Enumeration Date2006-11-30
Last Update Date2013-10-07
Business Address
FORT WAYNE ORAL MAXILLOFACIAL SURGERY & IMPLANT CENTER, LLC
2121 E DUPONT RD SUITE #C
FORT WAYNE, IN 46825-1546
Phone number: 260-490-2013
Mailing Address
FORT WAYNE ORAL MAXILLOFACIAL SURGERY & IMPLANT CENTER, LLC
2121 E DUPONT RD SUITE #C
FORT WAYNE, IN 46825-1546
Phone number: 260-490-2013