Organization
DUPONT FAMILY DENTISTRY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID MICHAEL DIEHL DDS (OWNER)
(260) 489-1100
Entity
Organization
Contact information
Practice address
10215 DUPONT CIRCLE DR W, FORT WAYNE, IN 46825-1656
(260) 489-1100
(260) 489-1800
Mailing address
10215 DUPONT CIRCLE DR W, FORT WAYNE, IN 46825-1656
(260) 489-1100
(260) 489-1800
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12010145A
IN
Other
Enumeration date
09/18/2013
Last updated
09/18/2013
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