Midtown Dental P C
NPI #1417326083 in Fort Wayne, Indiana
Provider Information
- NPI Number
- 1417326083
- Entity Type
- Organization
- Organization Name
- Midtown Dental P C
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Sep 24, 2015
- Last Updated
- May 2, 2016
Practice Location
- Address
- 4616 W JEFFERSON BLVD
- City
- Fort Wayne
- State
- Indiana
- ZIP Code
- 46804-6826
- Phone
- (260) 432-8596
Authorized Official
- Name
- AMANDA RUTHERFORD
- Title
- OFFICE MANAGER
- Phone
- (260) 432-8596
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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