Individual
DR. ADAM RICHARD HERTIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4109 LAHMEYER RD, FORT WAYNE, IN 46815-5666
(260) 486-3100
Mailing address
4109 LAHMEYER RD, FORT WAYNE, IN 46815-5666
(260) 486-3100
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12011943A
IN
Other
Enumeration date
05/28/2013
Last updated
05/28/2013
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