| Harrison Dental Group Iii Llc | |
|
10506 Coldwater Rd Fort Wayne IN 46845-1235 | |
| (260) 747-4747 | |
| Not Available |
| Full Name | Harrison Dental Group Iii Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 10506 Coldwater Rd, Fort Wayne, Indiana |
| Authorized Official Name and Position | Keith Harrison (MANAGER) |
| Authorized Official Contact | 2607474747 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Harrison Dental Group Iii Llc 6412 Winchester Rd Fort Wayne IN 46819-1550 Ph: (260) 747-4747 | Harrison Dental Group Iii Llc 10506 Coldwater Rd Fort Wayne IN 46845-1235 Ph: (260) 747-4747 |
| NPI Number | 1083217970 |
|---|---|
| Provider Enumeration Date | 11/21/2020 |
| Last Update Date | 11/21/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083217970 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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