INDIANA PEDIATRIC DENTAL & ANESTHESIA LLC is a pediatric dentistry dentist in Fort Wayne, IN. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. INDIANA PEDIATRIC DENTAL & ANESTHESIA LLC NPI is 1164016127. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
3030 LAKE AVE STE 15
FORT WAYNE, IN
ZIP 46805-428
Phone: (512) 902-9997
The provider's authorized official is Lucian Dan Boboia .
The authorized official title is Owner and has the following contact phone number (512) 902-9997.
The enumeration date for this NPI number is 2/21/2021 and was last updated on 2/21/2021.