Individual
LUAY JABR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5328 COLDWATER RD, FORT WAYNE, IN 46825-5445
(260) 471-5016
Mailing address
420 WESTFALL RD APT 20, ROCHESTER, NY 14620-4650
(619) 383-4446
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
12014892A
IN
Other
Enumeration date
10/15/2025
Last updated
10/15/2025
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