Individual
DR. JORGE ANTONIO BALTZELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6412 WINCHESTER RD, FORT WAYNE, IN 46819-1550
(260) 747-4747
Mailing address
7424 BOJRAB DR, FORT WAYNE, IN 46835-4153
(317) 273-9190
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12014795A
IN
Other
Enumeration date
06/16/2025
Last updated
06/16/2025
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