STEVEN PENN ELLINWOOD

FORT WAYNE, IN
NPI1568531754
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: IN  12008689)
Enumeration Date2006-11-06
Last Update Date2007-07-08
Business Address
STEVEN PENN ELLINWOOD DDS
5725 MAPLECREST RD
FORT WAYNE, IN 46835-3838
Phone number: 260-492-2640
Mailing Address
STEVEN PENN ELLINWOOD DDS
5725 MAPLECREST RD
FORT WAYNE, IN 46835-3838
Phone number: 260-492-2640
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