Organization
NATAL DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS RYAN NATAL DMD (DENTIST)
(703) 731-3297
Entity
Organization
Contact information
Practice address
615 PROFESSIONAL PARK DR, NEW HAVEN, IN 46774-1850
(260) 493-2113
Mailing address
11807 FAZIO DR, FORT WAYNE, IN 46818-0150
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/01/2025
Last updated
10/01/2025
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