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Individual

DR. MARK F STONER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
4116 E STATE BLVD, FORT WAYNE, IN 46815-6911
(260) 485-8118
(260) 482-3750
Mailing address
4116 E STATE BLVD, FORT WAYNE, IN 46815-6911
(260) 485-8118
(260) 482-3750

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12010013A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
9659
PHP NUMBER
IN
Enumeration date
02/22/2007
Last updated
07/09/2007
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