Organization
CORE DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOREEN AGYEMAN (DENTIST)
(502) 777-7547
Entity
Organization
Contact information
Practice address
2444 GETZ RD, FORT WAYNE, IN 46804-1632
(269) 444-4715
Mailing address
2444 GETZ RD, FORT WAYNE, IN 46804-1632
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/08/2019
Last updated
05/08/2019
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