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1225924194
JORGE ANTONIO BALTZELL
FORT WAYNE, IN
NPI
1225924194
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: IN 12014795A)
Enumeration Date
2025-06-16
Last Update Date
2025-06-16
Business Address
Dr. JORGE ANTONIO BALTZELL DDS
6412 WINCHESTER RD
FORT WAYNE, IN 46819-1550
Phone number: 260-747-4747
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Mailing Address
Dr. JORGE ANTONIO BALTZELL DDS
7424 BOJRAB DR
FORT WAYNE, IN 46835-4153
Phone number: 317-273-9190
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