Individual
DR. DAVID JOHN WADAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
636 E MILHAM AVE, PORTAGE, MI 49002-1440
(269) 323-1802
(269) 323-1940
Mailing address
636 E MILHAM AVE, PORTAGE, MI 49002-1440
(269) 323-1802
(269) 323-1940
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901017839
MI
Other
Enumeration date
02/22/2007
Last updated
07/08/2007
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