Individual
DR. WAYNE LEE DAWES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7750 W JEFFERSON BLVD, FORT WAYNE, IN 46804-4174
(260) 469-0903
(260) 467-0673
Mailing address
7750 W JEFFERSON BLVD, FORT WAYNE, IN 46804-4174
(260) 469-0903
(260) 467-0673
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
12006289A
IN
Other
Enumeration date
07/28/2006
Last updated
07/08/2007
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