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Gfd Cc Llc
Dental Clinic/Center in Columbia City, Indiana
NPI 1326443912

Gfd Cc Llc is a Dental Clinic/Center based in Fort Wayne, IN and is specialized in Dental. Gfd Cc Llc practices in Columbia City, IN. The NPI Number for Gfd Cc Llc is 1326443912 and holds a License No. 12010658A (Indiana).

The current practice location address for Gfd Cc Llc is 506 N Line St, Columbia City, IN and can be reached out via phone at 260-248-4242.

Location: 506 N Line St, Columbia City, IN, 46804-6496
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1326443912
Provider Name
Gfd Cc Llc
Credential
Provider Entity Type
Organization
Address
506 N Line St, Columbia City, IN, 46804-6496
Phone Number
260-248-4242
Fax Number
Provider Enumeration Date
10/26/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200838370A 05 IN
institution
Provider Business Practice Location Address Details
Address
506 N Line St
City
Columbia City
State
Indiana
Zip
46725-1230
Phone Number
260-248-4242
Fax Number
person
Provider Business Mailing Address Details
Address
506 N Line St
City
Columbia City
State
Indiana
Zip
46725-1230
Phone Number
260-248-4242
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
12010658A (Indiana)
Definition
Definition to come...
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