| Brad Pulfer D.d.s., P.c. | |
|
1405 Medical Park Dr Fort Wayne IN 46825-5878 | |
| (260) 471-1695 | |
| Not Available |
| Full Name | Brad Pulfer D.d.s., P.c. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1405 Medical Park Dr, Fort Wayne, Indiana |
| Authorized Official Name and Position | Brad Jon Pulfer (PRESIDENT) |
| Authorized Official Contact | 2604711695 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brad Pulfer D.d.s., P.c. 1405 Medical Park Dr Fort Wayne IN 46825-5878 Ph: (260) 471-1695 | Brad Pulfer D.d.s., P.c. 1405 Medical Park Dr Fort Wayne IN 46825-5878 Ph: (260) 471-1695 |
| NPI Number | 1326399130 |
|---|---|
| Provider Enumeration Date | 09/20/2012 |
| Last Update Date | 09/20/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326399130 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 12010676A (Indiana) | Primary |
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