Individual
DR. ZACHARY EDWARD FORTIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
5725 MAPLECREST RD, FORT WAYNE, IN 46835-4937
(260) 486-2357
Mailing address
5725 MAPLECREST RD, FORT WAYNE, IN 46835-4937
(260) 486-2357
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12013474
IN
Other
Enumeration date
03/30/2022
Last updated
03/30/2022
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