Individual
DR. RYAN P GEBFERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
10010 DUPONT CIRCLE CT, FORT WAYNE, IN 46825-1626
(260) 490-4440
Mailing address
10010 DUPONT CIRCLE COURT, FORT WAYNE, IN 46845
(260) 490-4440
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12011487A
IN
Other
Enumeration date
06/23/2010
Last updated
06/23/2010
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