Individual
AARON LIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
9121 ILLINOIS RD, FORT WAYNE, IN 46804-5753
(260) 434-0099
Mailing address
9121 ILLINOIS RD, FORT WAYNE, IN 46804-5753
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12012760A
IN
Other
Enumeration date
06/15/2017
Last updated
06/15/2017
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