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Organization
VAN ODDOL AND SCHLITT FAMILY DENTISTRY
Active
Organization
VAN ODDOL AND SCHLITT FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASMINE MARY GABRIEL SCHLITT DDS (PRESIDENT)
(574) 267-7017
Entity
Organization
Contact information
Practice address
2283 PROVIDENT CT, WARSAW, IN 46580-3215
(574) 267-7017
Mailing address
2283 PROVIDENT CT, WARSAW, IN 46580-3215
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12009989
IN
Other
Enumeration date
01/19/2012
Last updated
01/19/2012
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