Organization
THOMAS D. VANOSDOL,DDS,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS DEAN VANOSDOL DDS (PRESIDENT)
(574) 267-7017
Entity
Organization
Contact information
Practice address
2283 PROVIDENT CT, WARSAW, IN 46580-3215
(574) 267-7017
(574) 267-4337
Mailing address
2283 PROVIDENT CT, WARSAW, IN 46580-3215
(574) 267-7017
(574) 267-4337
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/04/2006
Last updated
08/22/2020
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