| Aegis Dental Group Warsaw, P.c. | |
|
1005 Anchorage Rd Warsaw IN 46580-2281 | |
| (574) 549-9940 | |
| (574) 376-4055 |
| Full Name | Aegis Dental Group Warsaw, P.c. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1005 Anchorage Rd, Warsaw, Indiana |
| Authorized Official Name and Position | Guy J Moore (OWNER/PRESIDENT) |
| Authorized Official Contact | 5745499940 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aegis Dental Group Warsaw, P.c. 1005 Anchorage Rd Warsaw IN 46580-2281 Ph: (574) 549-9940 | Aegis Dental Group Warsaw, P.c. 1005 Anchorage Rd Warsaw IN 46580-2281 Ph: (574) 549-9940 |
| NPI Number | 1104512599 |
|---|---|
| Provider Enumeration Date | 04/18/2023 |
| Last Update Date | 04/18/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104512599 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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