Gebfert-Park Family Dentistry
NPI #1518045574 in Fort Wayne, Indiana
Provider Information
- NPI Number
- 1518045574
- Entity Type
- Organization
- Organization Name
- Gebfert-Park Family Dentistry
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Nov 1, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 10010 DUPONT CIRCLE CT
- City
- Fort Wayne
- State
- Indiana
- ZIP Code
- 46825-1626
- Phone
- (260) 490-4440
Authorized Official
- Name
- LAWRENCE PARK, DDS
- Title
- DENTIST
- Phone
- (260) 490-4440
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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