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Organization
SYCAMORE HILLS DENTISTRY
Active
Organization
SYCAMORE HILLS DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TINA PRESSNALL (PRACTICE CONSULTANT)
(317) 426-9876
Entity
Organization
Contact information
Practice address
10082 ILLINOIS RD, FORT WAYNE, IN 46804-5772
(260) 213-4400
Mailing address
10082 ILLINOIS RD, FORT WAYNE, IN 46804-5772
(260) 213-4400
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/11/2020
Last updated
05/11/2020
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