Organization
BRAD PULFER D.D.S., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRAD JON PULFER D.D.S. (PRESIDENT)
(260) 471-1695
Entity
Organization
Contact information
Practice address
1405 MEDICAL PARK DR, FORT WAYNE, IN 46825-5878
(260) 471-1695
Mailing address
1405 MEDICAL PARK DR, FORT WAYNE, IN 46825-5878
(260) 471-1695
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
12010676A
IN
Other
Enumeration date
09/20/2012
Last updated
09/20/2012
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