Organization
LIFETIME DENTAL CARE OF INDIANA, PC
Active
Parent organization
LIFETIME DENTAL CARE OF INDIANA, PC
Other names
Dental Design of Fort Wayne
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIFETIME DENTAL CARE OF INDIANA, PC
Authorized official
JENNIFER HOELSCHER (INS COOD)
(217) 540-5100
Entity
Organization
Contact information
Practice address
2828 E STATE BLVD, FORT WAYNE, IN 46805-4761
(260) 482-6689
(260) 482-6948
Mailing address
2828 E STATE BLVD, FORT WAYNE, IN 46805-4761
(260) 482-6689
(260) 482-6948
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/03/2007
Last updated
11/01/2014
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