Family Dentistry & Aesthetic INC
NPI #1457462590 in Fort Wayne, Indiana
Provider Information
- NPI Number
- 1457462590
- Entity Type
- Organization
- Organization Name
- Family Dentistry & Aesthetic INC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Aug 31, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 4626 WEST JEFFERSON BLVD
- City
- Fort Wayne
- State
- Indiana
- ZIP Code
- 46804
- Phone
- (260) 432-0561
Authorized Official
- Name
- DR. THOMAS T TEEL, DDS
- Title
- OWNER PRESIDENT
- Phone
- (260) 432-0561
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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