HARRISON DENTAL GROUP IV LLC

FORT WAYNE, IN
NPI1801499702
Entity TypeOrganization
Authorized ContactKEITH HARRISON
Manager
260-747-4747
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
Enumeration Date2020-11-21
Last Update Date2020-11-21
Business Address
HARRISON DENTAL GROUP IV LLC
2801 MAPLECREST RD
FORT WAYNE, IN 46815-7015
Phone number: 260-747-4747
Mailing Address
HARRISON DENTAL GROUP IV LLC
6412 WINCHESTER RD
FORT WAYNE, IN 46819-1550
Phone number: 260-747-4747