Organization
GEORGETOWN NORTH DENTAL CARE LLC
Active
Other names
Georgetown North Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
OPAL ANDERSON (REGIONAL OPERATIONS MANAGER)
(260) 485-0583
Entity
Organization
Contact information
Practice address
6405 GEORGETOWN NORTH BLVD, FORT WAYNE, IN 46815-7007
(260) 485-0583
Mailing address
6405 GEORGETOWN NORTH BLVD, FORT WAYNE, IN 46815-7007
(260) 485-0583
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/19/2018
Last updated
07/20/2022
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