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Individual

NATHAN J BOJRAB

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
2801 MAPLECREST RD, FORT WAYNE, IN 46815-7015
(260) 486-4444
(260) 486-4596
Mailing address
2801 MAPLECREST RD, FORT WAYNE, IN 46815-7015
(260) 486-4444
(260) 486-4596

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12011957A
IN

Other

Enumeration date
05/24/2013
Last updated
05/24/2013
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