David G. Slyby D.d.s. P.c.

NPI #1215959325 in Fort Wayne, Indiana

Provider Information

NPI Number: 1215959325
Entity Type: Organization
Organization Name: David G. Slyby D.d.s. P.c.
Primary Specialty: Dentist
Enumeration Date: Jul 25, 2006
Last Updated: Jan 4, 2013

Practice Location

Address: 4606 E STATE BLVD
Address 2: B
City: Fort Wayne
State: Indiana
ZIP Code: 46815-6993
Phone: (260) 484-0725

Authorized Official

Name: DR. DAVID GEORGE SLYBY, D.D.S.
Title: OWNER/PRESIDENT
Phone: (260) 484-0725

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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