Daniel Whittaker R Dmd, Inc.

NPI #1629484118 in Bryan, Ohio

Provider Information

NPI Number: 1629484118
Entity Type: Organization
Organization Name: Daniel Whittaker R Dmd, Inc.
Primary Specialty: Dentist
Enumeration Date: Jul 7, 2014
Last Updated: Jul 8, 2014

Practice Location

Address: 201 VAN GUNDY DR
Address 2: BLDG. A
City: Bryan
State: Ohio
ZIP Code: 43506-1179
Phone: (419) 636-4202

Authorized Official

Name: CHAR J ROSE
Title: INSURANCE COORDINATOR
Phone: (419) 636-4202

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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