Individual
ALERO AISIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10505 LIMA RD, FORT WAYNE, IN 46818-9536
(260) 484-9248
Mailing address
10505 LIMA RD, FORT WAYNE, IN 46818-9536
(260) 484-9248
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12013889A
IN
Other
Enumeration date
08/10/2022
Last updated
08/10/2022
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