Organization
AEGIS DENTAL GROUP WARSAW, P.C.
Active
Other names
Aegis Dental Group Warsaw
Organization subpart
No
Provider details
NPI number
Authorized official
GUY J MOORE (OWNER/PRESIDENT)
(574) 549-9940
Entity
Organization
Contact information
Practice address
1005 ANCHORAGE RD, WARSAW, IN 46580-2281
(574) 549-9940
(574) 376-4055
Mailing address
1005 ANCHORAGE RD, WARSAW, IN 46580-2281
(574) 549-9940
(574) 376-4055
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/18/2023
Last updated
04/18/2023
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