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1720425010
ADAM RICHARD HERTIG
FORT WAYNE, IN
NPI
1720425010
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: IN 12011943A)
Enumeration Date
2013-05-28
Last Update Date
2013-05-28
Business Address
Dr. ADAM RICHARD HERTIG D.D.S.
4109 LAHMEYER RD
FORT WAYNE, IN 46815-5666
Phone number: 260-486-3100
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Mailing Address
Dr. ADAM RICHARD HERTIG D.D.S.
4109 LAHMEYER RD
FORT WAYNE, IN 46815-5666
Phone number: 260-486-3100
Copy
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