DAVID L VAN WORMER

WARSAW, IN
NPI1073736807
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: IN  12009888)
Enumeration Date2007-04-10
Last Update Date2007-07-08
Business Address
-- DAVID L VAN WORMER
312 NORTH LAKE ST.
WARSAW, IN 46580
Phone number: 574-269-1952
Mailing Address
-- DAVID L VAN WORMER
312 NORTH LAKE ST.
WARSAW, IN 46580
Phone number: 574-269-1952
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