FAMILIA DENTAL SPFW PLLC is a dental clinic center in Fort Wayne, IN. FAMILIA DENTAL SPFW PLLC NPI is 1619388063. The provider is registered as an organization entity type.
The provider Is Doing Business As Familia Dental.
The provider's business location address is:
100 E PETTIT AVE
1A
FORT WAYNE, IN
ZIP 46806-003
Phone: (888) 988-4066
Fax: (847) 496-7603
The provider's authorized official is Brandon Alexander Taylor .
The authorized official title is Credentialing Payer Relations Mgr and has the following contact phone number (847) 453-7396.
The enumeration date for this NPI number is 5/19/2014 and was last updated on 10/15/2021.