# GFD CC LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326443912
- **Authorized official:** DR. GEOFFREY LOUIS GLOGAS DDS (MEMBER/PRESIDENT)
- **Authorized official phone:** (260) 450-4579

## Contact information

- **Practice address:** 506 N LINE ST, COLUMBIA CITY, IN 46725-1230
- **Practice address phone:** (260) 248-4242
- **Mailing address:** 8427 SPRING FOREST DR, FORT WAYNE, IN 46804-6496
- **Mailing address phone:** (260) 436-4377

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 12010658A | IN | Yes |

## Other

- **Enumeration date:** 10/26/2014
- **Last updated:** 10/26/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200838370A | — | IN |