MATHEW KAVANAUGH

FORT WAYNE, IN
NPI1780800243
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: IN  12010783A)
Enumeration Date2007-04-17
Last Update Date2007-07-08
Business Address
Dr. MATHEW KAVANAUGH DDS
2828 E STATE BLVD SUITE B
FORT WAYNE, IN 46805-4761
Phone number: 260-482-6689
Mailing Address
Dr. MATHEW KAVANAUGH DDS
2828 E STATE BLVD SUITE B
FORT WAYNE, IN 46805-4761
Phone number: 260-482-6689
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