Individual
DR. SHERYLEEN DEREDE PULFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
10215 DUPONT CIRCLE DR W, FORT WAYNE, IN 46825-1656
(260) 489-1100
Mailing address
8622 EVENTER TRL, FORT WAYNE, IN 46825-6564
(951) 533-5717
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12011741A
IN
Other
Enumeration date
10/12/2011
Last updated
07/17/2014
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