Organization
GENTLE CARE FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL MENSAH-BOATENG (DENTIST/PRESIDENT)
(573) 529-6303
Entity
Organization
Contact information
Practice address
812 LAWRENCE DR, FORT WAYNE, IN 46804-1192
(260) 387-5890
Mailing address
812 LAWRENCE DR, FORT WAYNE, IN 46804-1192
(260) 387-5890
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12011454A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200988310
—
IN
Enumeration date
03/02/2012
Last updated
01/31/2025
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