Maple Dental Dds Pc | |
6418 Est State Boulevard Store #23 Fortwayne IN 46815 | |
(347) 445-3453 | |
Not Available |
Full Name | Maple Dental Dds Pc |
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Speciality | Clinic/center - Dental |
Location | 6418 Est State Boulevard, Fortwayne, Indiana |
Authorized Official Name and Position | Gurpreet Kaur (DENTIST) |
Authorized Official Contact | 3474453453 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Maple Dental Dds Pc 14207 Kidd Creek Crossover Fort Wayne IN 46845-0180 Ph: (216) 801-2718 | Maple Dental Dds Pc 6418 Est State Boulevard Store #23 Fortwayne IN 46815 Ph: (347) 445-3453 |
NPI Number | 1609606185 |
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Provider Enumeration Date | 08/07/2024 |
Last Update Date | 08/07/2024 |
Identifier | Type | State | Issuer |
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1609606185 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |