Individual
DR. MICHAEL JOSEPH LUARDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3030 LAKE AVE, SUITE 19, FORT WAYNE, IN 46805-5428
(260) 426-8061
(260) 426-8062
Mailing address
7830 E MANITOU TRL-92, ROANOKE, IN 46783-9203
(260) 672-3219
(260) 672-3214
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12009032
IN
Other
Enumeration date
05/11/2007
Last updated
07/08/2007
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