Organization
CLUTE YOUTH DENTISTRY, INC.
Active
Other names
SmileWorks Youth Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN RICHARD CLUTE DDS (PRESIDENT)
(260) 625-4870
Entity
Organization
Contact information
Practice address
7524 S ANTHONY BLVD, FORT WAYNE, IN 46816-2523
(260) 441-8500
(260) 441-0887
Mailing address
7524 S ANTHONY BLVD, FORT WAYNE, IN 46816-2523
(260) 441-8500
(260) 441-0887
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12010603A
IN
Other
Enumeration date
06/30/2014
Last updated
07/18/2014
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