LAWRENCE EUGENE PARK

FORT WAYNE, IN
NPI1992889687
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IN  12010099B)
Enumeration Date2006-10-25
Last Update Date2007-07-08
Business Address
Dr. LAWRENCE EUGENE PARK DDS
10010 DUPONT CIRCLE CT
FORT WAYNE, IN 46825-1626
Phone number: 260-490-4440
Mailing Address
Dr. LAWRENCE EUGENE PARK DDS
1517 GREY BIRCH RD
FORT WAYNE, IN 46814-9521
Phone number: 260-625-3902
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