Periodontic Specialists, P.c.

NPI #1447410501 in Fort Wayne, Indiana

Provider Information

NPI Number
1447410501
Entity Type
Organization
Organization Name
Periodontic Specialists, P.c.
Primary Specialty
Dentist - Periodontics
Enumeration Date
Jun 12, 2008
Last Updated
Jun 12, 2008

Practice Location

Address
7750 W JEFFERSON BLVD
State
Indiana
ZIP Code
46804-4174
Phone
(260) 432-0577

Authorized Official

Name
MRS. LEAH GABREK
Title
OPERATING SECRETARY
Phone
(260) 432-0577

Specialties & Taxonomy Codes

Specialty
Dentist - PeriodonticsPeriodontics

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