INDIANA PEDIATRIC DENTAL & ANESTHESIA LLC

Dentist - Pediatric Dentistry

Active Organization
NPI: 1164016127

Practice Address

3030 LAKE AVE STE 15
Fort Wayne, IN 46805

Phone: (512) 902-9997

Specialties

Specialty Code Primary License
Dentist - Pediatric Dentistry 1223P0221X Yes -

Frequently Asked Questions

NPI 1164016127 is the National Provider Identifier for INDIANA PEDIATRIC DENTAL & ANESTHESIA LLC, a Dentist - Pediatric Dentistry provider located in Fort Wayne, IN. This NPI was enumerated on February 21, 2021.

Quick Facts

NPI
1164016127
Type
Organization
Enumerated
Feb 21, 2021
Last Updated
Feb 21, 2021

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