Organization
LIMA ROAD DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OPAL ANDERSON (COO)
(260) 489-4090
Entity
Organization
Contact information
Practice address
9019 LIMA RD, FORT WAYNE, IN 46818-1801
(260) 489-4090
Mailing address
9019 LIMA RD, FORT WAYNE, IN 46818-1801
(260) 489-4090
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/25/2019
Last updated
07/20/2022
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