Gfd Wb, Llc | |
4321 College St Woodburn IN 46797-9005 | |
(260) 632-5312 | |
(260) 632-5052 |
Full Name | Gfd Wb, Llc |
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Speciality | Dentist |
Location | 4321 College St, Woodburn, Indiana |
Authorized Official Name and Position | Geoffrey L Glogas (OWNER/PRESIDENT) |
Authorized Official Contact | 2604504579 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Gfd Wb, Llc 2220 Longleaf Dr Fort Wayne IN 46814-9552 Ph: (260) 450-4579 | Gfd Wb, Llc 4321 College St Woodburn IN 46797-9005 Ph: (260) 632-5312 |
NPI Number | 1548723455 |
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Provider Enumeration Date | 04/08/2019 |
Last Update Date | 04/08/2019 |
Identifier | Type | State | Issuer |
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1548723455 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |