Organization
DR. L GARY PAINTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
L. GARY PAINTER DDS (OWNER)
(260) 486-3100
Entity
Organization
Contact information
Practice address
4109 LAHMEYER RD, FORT WAYNE, IN 46815-5666
(260) 486-3100
(260) 486-0068
Mailing address
4109 LAHMEYER RD, FORT WAYNE, IN 46815-5666
(260) 486-3100
(260) 486-0068
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12008216A
IN
122300000X
Dentist
12011943A
—
Other
Enumeration date
08/06/2013
Last updated
08/06/2013
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