Individual
DR. KREG TERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1555 N WAYNE ST, ANGOLA, IN 46703-2352
(260) 319-5090
Mailing address
5835 WARBLING WAY APT 201, FORT WAYNE, IN 46804-0023
(812) 276-7021
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12012972A
IN
Other
Enumeration date
06/29/2018
Last updated
06/29/2018
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