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Organization
GEORGETOWN NORTH DENTAL CARE LLC
Active
Organization
GEORGETOWN NORTH DENTAL CARE LLC
Active
Other names
Georgetown North Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
OPAL ANDERSON (REGIONAL OPERATIONS MANAGER)
(260) 485-0583
Entity
Organization
Contact information
Practice address
6405 GEORGETOWN NORTH BLVD, FORT WAYNE, IN 46815-7007
(260) 485-0583
Mailing address
6405 GEORGETOWN NORTH BLVD, FORT WAYNE, IN 46815-7007
(260) 485-0583
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/19/2018
Last updated
07/20/2022
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