| Orange Door Dental Group Of Warsaw | |
|
1299 Husky Trl Warsaw IN 46582-1956 | |
| (574) 269-1200 | |
| (574) 269-3424 |
| Full Name | Orange Door Dental Group Of Warsaw |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1299 Husky Trl, Warsaw, Indiana |
| Authorized Official Name and Position | Christiaan Anthony Willig (PRESIDENT/OWNER) |
| Authorized Official Contact | 5742691200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Orange Door Dental Group Of Warsaw 1600 Hawthorne Ct Winona Lake IN 46590-1678 Ph: (574) 269-9632 | Orange Door Dental Group Of Warsaw 1299 Husky Trl Warsaw IN 46582-1956 Ph: (574) 269-1200 |
| NPI Number | 1558639872 |
|---|---|
| Provider Enumeration Date | 12/01/2011 |
| Last Update Date | 12/01/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558639872 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | IN12010401A (Indiana) | Primary |
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