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Organization
DEANA FUGATE DMD PC
Active
Organization
DEANA FUGATE DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEANA FUGATE DMD (OWNER/DENTIST)
(865) 208-5147
Entity
Organization
Contact information
Practice address
1213 W LINCOLN AVE, GOSHEN, IN 46526-2130
(574) 533-6911
Mailing address
55623 LITTLE CREEK LN, MIDDLEBURY, IN 46540-8677
(865) 208-5147
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/14/2022
Last updated
06/15/2022
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