| NPI | 1992506513 |
|---|---|
| Doing Business As | AEGIS DENTAL GROUP FORT WAYNE |
| Entity Type | Organization |
| Authorized Contact | CYNTHIA NEUENSCHWANDER Chief Operating Officer 574-875-7711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2025-03-20 |
| Last Update Date | 2025-03-20 |