Dr. Catherine N Periolat
Dr. Catherine N Periolat is a General Practice Dentistry in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2007.
- Licensed in
- IN
- In the registry since
- 2007
Practice location Address checks out
4626 W Jefferson BlvdFort Wayne, IN 46804-6897
Phone: (260) 432-0561
Fax: (260) 436-4626
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 9882 (IN) |
|---|
Record details
| NPI number | 1679762918 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | October 23, 2007 |
| Last updated in NPPES | October 23, 2007 |
| Mailing address | 4626 W Jefferson Blvd, Fort Wayne, IN 46804-6897 |
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