Organization
GOSHEN COSMETIC AND ADVANCED FAMILY DENTISTRY PC
Active
Other names
Stutsman Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHAD G. STUTSMAN DDS (OWNER)
(574) 533-8934
Entity
Organization
Contact information
Practice address
1801 CHARLTON CT, GOSHEN, IN 46526-6464
(574) 533-8934
(574) 533-9487
Mailing address
1801 CHARLTON CT, GOSHEN, IN 46526-6464
(574) 533-8934
(574) 533-9487
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/02/2007
Last updated
07/10/2017
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