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Organization

GFD WB, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GEOFFREY L GLOGAS DDS (OWNER/PRESIDENT)
(260) 450-4579
Entity
Organization

Contact information

Practice address
4321 COLLEGE ST, WOODBURN, IN 46797-9005
(260) 632-5312
(260) 632-5052
Mailing address
2220 LONGLEAF DR, FORT WAYNE, IN 46814-9552
(260) 450-4579

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Enumeration date
04/08/2019
Last updated
04/08/2019
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