| Lena B Fermback DDS PC | |
|
1010 S Union St Warsaw IN 46580-4706 | |
| (716) 574-3040 | |
| (574) 268-2530 |
| Full Name | Lena B Fermback DDS PC |
|---|---|
| Speciality | Dentist |
| Location | 1010 S Union St, Warsaw, Indiana |
| Authorized Official Name and Position | Lena B Fermback (PRESIDENT) |
| Authorized Official Contact | 5742673040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lena B Fermback DDS PC 1010 S Union St Warsaw IN 46580-4706 Ph: (716) 574-3040 | Lena B Fermback DDS PC 1010 S Union St Warsaw IN 46580-4706 Ph: (716) 574-3040 |
| NPI Number | 1134265846 |
|---|---|
| Provider Enumeration Date | 01/29/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134265846 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (Indiana) | Primary |
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