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1801499702
HARRISON DENTAL GROUP IV LLC
FORT WAYNE, IN
NPI
1801499702
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Entity Type
Organization
Authorized Contact
KEITH HARRISON
Manager
260-747-4747
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
Enumeration Date
2020-11-21
Last Update Date
2020-11-21
Business Address
HARRISON DENTAL GROUP IV LLC
2801 MAPLECREST RD
FORT WAYNE, IN 46815-7015
Phone number: 260-747-4747
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Mailing Address
HARRISON DENTAL GROUP IV LLC
6412 WINCHESTER RD
FORT WAYNE, IN 46819-1550
Phone number: 260-747-4747
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