Willig Dentistry, Pc

NPI 1558639872 - Dentist - 1223G0001X

NPI Details
NPI 1558639872
Enumeration Date 12/01/2011
Last Updated 12/01/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name CHRISTIAAN ANTHONY CHRISTIAAN
Position PRESIDENT/OWNER
Phone (574) 269-1200
Fax (574) 269-3424
Practice Location
1299 HUSKY TRL
WARSAW IN, 46582-1956, US
Phone (574) 269-1200
Fax (574) 269-3424
Business Location
1600 HAWTHORNE CT
WINONA LAKE IN, 46590-1678, US
Phone (574) 269-9632
Fax (574) 269-3424
Toxanomy
Taxonomy Code 1223G0001X
License State Indiana
License Number IN12010401A
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According to our database, Willig Dentistry, Pc NPI is 1558639872, taxonomy code is 1223G0001X and license number is IN12010401A, license state is located at Indiana. Willig Dentistry, Pc physically located at 1299 Husky Trl, Warsaw IN, 46582-1956. NPI Number 1033115704 has the healthcare provider type.

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1558639872 NPI number is provided on an as is basis without warranty of any kind. 1558639872 is maintained by the National Plan & Provider Enumeration System. The contents of Willig Dentistry, Pc are for informational purposes only.