Justin Southward, DMD

NPI #1316468317 in Van Wert, Ohio

Provider Information

NPI Number: 1316468317
Entity Type: Individual
Name: Justin Southward, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Jun 29, 2017
Last Updated: Sep 21, 2019

Practice Location

Address: 1191 WESTWOOD DR
City: Van Wert
State: Ohio
ZIP Code: 45891
Phone: (419) 238-6747

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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