Organization
AEGIS DENTAL GROUP FORT WAYNE, LLC
Active
Other names
Aegis Dental Group Fort Wayne
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA NEUENSCHWANDER (CHIEF OPERATING OFFICER)
(574) 875-7711
Entity
Organization
Contact information
Practice address
4975 W JEFFERSON BLVD, FORT WAYNE, IN 46804
(574) 875-7711
Mailing address
4975 W JEFFERSON BLVD, FORT WAYNE, IN 46804
(574) 875-7711
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/20/2025
Last updated
03/20/2025
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