| Gfd Wb, Llc | |
|
4321 College St Woodburn IN 46797-9005 | |
| (260) 632-5312 | |
| (260) 632-5052 |
| Full Name | Gfd Wb, Llc |
|---|---|
| Speciality | Dentist |
| Location | 4321 College St, Woodburn, Indiana |
| Authorized Official Name and Position | Geoffrey L Glogas (OWNER/PRESIDENT) |
| Authorized Official Contact | 2604504579 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gfd Wb, Llc 2220 Longleaf Dr Fort Wayne IN 46814-9552 Ph: (260) 450-4579 | Gfd Wb, Llc 4321 College St Woodburn IN 46797-9005 Ph: (260) 632-5312 |
| NPI Number | 1548723455 |
|---|---|
| Provider Enumeration Date | 04/08/2019 |
| Last Update Date | 04/08/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548723455 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |