| NPI | 1104859701 |
|---|---|
| Former Legal Business Name | WAYNE L DAWES DDS INC |
| Entity Type | Organization |
| Authorized Contact | WAYNE LEE DAWES President Owner 260-459-0903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: IN 54000382A) |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2020-08-22 |