Deana Fugate Dmd PC

NPI #1710638358 in Goshen, Indiana

Provider Information

NPI Number
1710638358
Entity Type
Organization
Organization Name
Deana Fugate Dmd PC
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Jan 14, 2022
Last Updated
Jun 15, 2022

Practice Location

Address
1213 W LINCOLN AVE
City
Goshen
State
Indiana
ZIP Code
46526-2130
Phone
(574) 533-6911

Authorized Official

Name
DEANA FUGATE, DMD
Title
OWNER/DENTIST
Phone
(865) 208-5147

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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