Organization
YODER/RAHRIG FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH E YODER DDS (DENTIST)
(260) 447-1776
Entity
Organization
Contact information
Practice address
333 E TILLMAN RD, FORT WAYNE, IN 46816-1017
(260) 447-1776
(260) 447-6530
Mailing address
333 E TILLMAN RD, FORT WAYNE, IN 46816-1017
(260) 447-1776
(260) 447-6530
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6051
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
851799
UNITED CONCORDIA
IN
Enumeration date
07/20/2006
Last updated
08/22/2020
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