DR. Chad Stoller, DDS, PA-C

NPI #1700871118 in Fort Wayne, Indiana

Provider Information

NPI Number
1700871118
Entity Type
Individual
Name
DR. Chad Stoller, DDS, PA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist
Credential
DDS, PA-C
Enumeration Date
Sep 13, 2005
Last Updated
Jul 22, 2020

Practice Location

Address
2828 E STATE BLVD
State
Indiana
ZIP Code
46805-4761
Phone
(260) 482-6689

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical
Physician Assistant
Dentist

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