Harrison Dental Group Iii Llc | |
10506 Coldwater Rd Fort Wayne IN 46845-1235 | |
(260) 747-4747 | |
Not Available |
Full Name | Harrison Dental Group Iii Llc |
---|---|
Speciality | Dentist - General Practice |
Location | 10506 Coldwater Rd, Fort Wayne, Indiana |
Authorized Official Name and Position | Keith Harrison (MANAGER) |
Authorized Official Contact | 2607474747 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Harrison Dental Group Iii Llc 6412 Winchester Rd Fort Wayne IN 46819-1550 Ph: (260) 747-4747 | Harrison Dental Group Iii Llc 10506 Coldwater Rd Fort Wayne IN 46845-1235 Ph: (260) 747-4747 |
NPI Number | 1083217970 |
---|---|
Provider Enumeration Date | 11/21/2020 |
Last Update Date | 11/21/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083217970 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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