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Individual

DANIEL J. VANANTWERP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
150 HEALTH PARTNER CIRCLE, MT. ORAB, OH 45154-1408
(937) 444-2514
(937) 444-4818
Mailing address
5400 DUPONT CIRCLE, SUITE A, MILFORD, OH 45150
(513) 576-7700
(513) 576-1020

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14172
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3041265
OH
Enumeration date
08/29/2006
Last updated
06/17/2011
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