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Individual

DR. ANGELA COLEMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
10505 LIMA ROAD, FORT WAYNE, IN 46818
(260) 484-9248
(260) 482-7217
Mailing address
10505 LIMA ROAD, FORT WAYNE, IN 46818
(260) 484-9248
(260) 482-7217

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12010281A
IN

Other

Enumeration date
04/20/2007
Last updated
08/14/2014
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