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1427273390
BRENT EDWARD MUTTON
FORT WAYNE, IN
NPI
1427273390
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: IN 12008127)
Enumeration Date
2007-04-16
Last Update Date
2007-07-08
Business Address
Dr. BRENT EDWARD MUTTON DDS
7202 ENGLE RD
FORT WAYNE, IN 46804
Phone number: 260-432-3459
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Mailing Address
Dr. BRENT EDWARD MUTTON DDS
7202 ENGLE RD
FORT WAYNE, IN 46804
Phone number: 260-432-3459
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