FORT WAYNE PEDIATRIC DENTISTRY LLC

FORT WAYNE, IN
NPI1689185886
Entity TypeOrganization
Authorized ContactKEVIN LUDWIG
Owner/Pediatric Dentist
219-929-6739
Organization Subpart ?No
Primary Taxonomy1223P0221X Dentist, Pediatric Dentistry
(Licence: IN  12011802A)
Enumeration Date2017-10-16
Last Update Date2017-10-16
Business Address
FORT WAYNE PEDIATRIC DENTISTRY LLC
10211 DUPONT CIRCLE DR W
FORT WAYNE, IN 46825-1622
Phone number: 260-490-5437
Mailing Address
FORT WAYNE PEDIATRIC DENTISTRY LLC
378 ELDERWOOD CT
FORT WAYNE, IN 46845-4510
Phone number: 219-929-6739