Individual
DR. THOMAS FRANKLIN PEQUIGNOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS CCN
Contact information
Practice address
11017 BITTERSWEET DELLS LN, FORT WAYNE, IN 46814-8155
(260) 672-3266
(260) 672-3266
Mailing address
11017 BITTERSWEET DELLS LN, FORT WAYNE, IN 46814-8155
(260) 672-3266
(260) 672-3266
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
6420
IN
Other
Enumeration date
09/05/2013
Last updated
09/05/2013
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