| Stetzel Dental Group | |
|
10010 Dupont Circle Ct Fort Wayne IN 46825-1626 | |
| (260) 490-9949 | |
| (260) 490-3199 |
| Full Name | Stetzel Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 10010 Dupont Circle Ct, Fort Wayne, Indiana |
| Authorized Official Name and Position | Mark R Stetzel (OWNER,PRESIDENT) |
| Authorized Official Contact | 2604909949 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stetzel Dental Group 10010 Dupont Circle Ct Fort Wayne IN 46825-1626 Ph: (260) 490-9949 | Stetzel Dental Group 10010 Dupont Circle Ct Fort Wayne IN 46825-1626 Ph: (260) 490-9949 |
| NPI Number | 1356463327 |
|---|---|
| Provider Enumeration Date | 04/03/2007 |
| Last Update Date | 06/30/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356463327 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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