Organization
CHRISTIAAN A. WILLIG, DDS, P.C.
Active
Other names
Orange Door Dental Group of Elkhart
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTIAAN ANTHONY WILLIG DDS (PRESIDENT)
(574) 293-5216
Entity
Organization
Contact information
Practice address
110 N NAPPANEE ST, ELKHART, IN 46514-1956
(574) 293-5216
(574) 522-1239
Mailing address
110 N NAPPANEE ST, ELKHART, IN 46514-1956
(574) 293-5216
(574) 522-1239
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
IN12010401A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200853580A
—
IN
Enumeration date
02/23/2010
Last updated
12/13/2011
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