Organization
DANIEL WHITTAKER R DMD, INC.
Active
Other names
Whittaker Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
CHAR J ROSE (INSURANCE COORDINATOR)
(419) 636-4202
Entity
Organization
Contact information
Practice address
201 VAN GUNDY DR, BLDG. A, BRYAN, OH 43506-1179
(419) 636-4202
(419) 636-6976
Mailing address
201 VAN GUNDY DR, BLDG. A, BRYAN, OH 43506-1179
(419) 636-4202
(419) 636-6976
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
07/07/2014
Last updated
07/08/2014
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