Individual
DANIEL PAUL JOLDERSMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
604 AUSTON CT, GOSHEN, IN 46526-1565
(574) 370-2271
Mailing address
604 AUSTON CT, GOSHEN, IN 46526-1565
(574) 370-2271
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12012577A
IN
Other
Enumeration date
07/31/2016
Last updated
07/31/2016
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