Individual
DR. DANIEL WAYNE STULTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1055 ENGEL DR, RICHMOND, IN 47374-1239
(765) 966-0218
(765) 935-5307
Mailing address
1055 ENGEL DR, RICHMOND, IN 47374-1239
(765) 966-0218
(765) 935-5307
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12010384
IN
Other
Enumeration date
07/07/2006
Last updated
07/09/2007
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