Individual
TESSA CREAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1717 S CALHOUN ST, FORT WAYNE, IN 46802-5257
(260) 458-2641
Mailing address
1717 S CALHOUN ST, FORT WAYNE, IN 46802-5257
(260) 458-2641
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12011483A
IN
Other
Enumeration date
07/02/2010
Last updated
03/06/2012
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