Organization
MARK F STONER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK F STONER DDS (OWNER/DENTIST)
(260) 484-4181
Entity
Organization
Contact information
Practice address
9830 AUBURN RD SUITE 102, FORT WAYNE, IN 46825
(260) 484-4181
(260) 484-4182
Mailing address
9830 AUBURN RD SUITE 102, FORT WAYNE, IN 46825
(260) 484-4181
(260) 484-4182
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12010013A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200196720A
—
IN
Enumeration date
12/15/2016
Last updated
12/15/2016
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