East Warsaw Dental Group LLC

NPI #1366636870 in Warsaw, Indiana

Provider Information

NPI Number: 1366636870
Entity Type: Organization
Organization Name: East Warsaw Dental Group LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Aug 29, 2007
Last Updated: Aug 29, 2007

Practice Location

Address: 2104 E CENTER ST
City: Warsaw
State: Indiana
ZIP Code: 46580-3704
Phone: (574) 269-1787

Authorized Official

Name: DR. JOHN W JONES, DDS
Title: DDS
Phone: (574) 269-1787

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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