Individual
DR. LEAH STETZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
223 E TILLMAN RD, FORT WAYNE, IN 46816-1079
(260) 447-2568
Mailing address
223 E TILLMAN RD, FORT WAYNE, IN 46816-1079
(260) 447-2568
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
RES.004246
OH
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
12013400A
IN
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
30.027896
OH
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
D011588
AZ
Other
Enumeration date
09/24/2020
Last updated
07/15/2025
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