Individual
DR. STEPHEN PHILIP HUNT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4207 EAST LAKE AVE, FORT WAYNE, IN 46815-7219
(260) 420-9609
(260) 420-9609
Mailing address
4207 EAST LAKE AVENUE, FORT WAYNE, IN 46815-7219
(260) 420-9609
(260) 420-9609
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12006392A
IN
Other
Enumeration date
05/19/2010
Last updated
05/19/2010
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