Bolinger Dental L.l.c. | |
5800 Fairfield Ave. Suite 220 Fort Wayne IN 46807-3417 | |
(260) 456-6073 | |
(260) 744-9251 |
Full Name | Bolinger Dental L.l.c. |
---|---|
Speciality | Clinic/center - Dental |
Location | 5800 Fairfield Ave., Fort Wayne, Indiana |
Authorized Official Name and Position | Craig Bolinger (PRESIDENT/OWNER) |
Authorized Official Contact | 2604566073 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Bolinger Dental L.l.c. 5800 Fairfield Ave. Suite 220 Fort Wayne IN 46807-3417 Ph: (260) 456-6073 | Bolinger Dental L.l.c. 5800 Fairfield Ave. Suite 220 Fort Wayne IN 46807-3417 Ph: (260) 456-6073 |
NPI Number | 1114418654 |
---|---|
Provider Enumeration Date | 05/21/2018 |
Last Update Date | 05/21/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114418654 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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