David L Van Wormer

NPI #1073736807 in Warsaw, Indiana

Provider Information

NPI Number
1073736807
Entity Type
Individual
Name
David L Van Wormer
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist
Enumeration Date
Apr 10, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
312 NORTH LAKE ST.
City
Warsaw
State
Indiana
ZIP Code
46580
Phone
(574) 269-1952

Specialties & Taxonomy Codes

Specialty
Dentist

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