Individual
DR. E CHARLES ECKSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
435 W COLISEUM BLVD, FORT WAYNE, IN 46805-1010
(260) 969-5367
Mailing address
PO BOX 316, WILLIAMSVILLE, NY 14231
(716) 204-4999
(716) 623-2963
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
016 0002137
VT
122300000X
Dentist
02985501
NY
122300000X
Dentist
Primary
12010964A
IN
122300000X
Dentist
9282
NJ
122300000X
Dentist
DS035365
PA
Other
Enumeration date
03/14/2007
Last updated
10/29/2008
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