Organization
R M & M R STETZEL DDS INC
Active
Other names
Stetzel Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK R STETZEL D.D.S. (OWNER,PRESIDENT)
(260) 490-9949
Entity
Organization
Contact information
Practice address
10010 DUPONT CIRCLE CT, FORT WAYNE, IN 46825-1626
(260) 490-9949
(260) 490-3199
Mailing address
10010 DUPONT CIRCLE CT, FORT WAYNE, IN 46825-1626
(260) 490-9949
(260) 490-3199
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/03/2007
Last updated
06/30/2008
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