NPI | 1427370097 |
---|---|
Doing Business As | ORANGE DOOR DENTAL GROUP OF ELKHART |
Entity Type | Organization |
Authorized Contact | CHRISTIAAN ANTHONY WILLIG President 574-293-5216 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN IN12010401A) |
Enumeration Date | 2010-02-23 |
Last Update Date | 2011-12-13 |