Charles H Middleton & Mary Ellen Argus | |
4302 E State Blvd Fort Wayne IN 46815 | |
(260) 484-3136 | |
(260) 484-3137 |
Full Name | Charles H Middleton & Mary Ellen Argus |
---|---|
Speciality | Dentist - General Practice |
Location | 4302 E State Blvd, Fort Wayne, Indiana |
Authorized Official Name and Position | Charles H Middleton (OWNER) |
Authorized Official Contact | 2604843136 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Charles H Middleton & Mary Ellen Argus 4302 E State Blvd Fort Wayne IN 46815 Ph: (260) 484-3136 | Charles H Middleton & Mary Ellen Argus 4302 E State Blvd Fort Wayne IN 46815 Ph: (260) 484-3136 |
NPI Number | 1215024989 |
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Provider Enumeration Date | 10/06/2006 |
Last Update Date | 04/30/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215024989 | NPI | - | NPPES |
00055165 | Other | IN | UNITED CONCORDIA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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