Harrison Dental Group III LLC
NPI #1083217970 in Fort Wayne, Indiana
Provider Information
- NPI Number
- 1083217970
- Entity Type
- Organization
- Organization Name
- Harrison Dental Group III LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Nov 21, 2020
- Last Updated
- Nov 21, 2020
Practice Location
- Address
- 10506 COLDWATER RD
- City
- Fort Wayne
- State
- Indiana
- ZIP Code
- 46845-1235
- Phone
- (260) 747-4747
Authorized Official
- Name
- KEITH HARRISON
- Title
- MANAGER
- Phone
- (260) 747-4747
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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