Individual
DR. DAVID M DIEHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
10215 DUPONT CIRCLE DR W, FORT WAYNE, IN 46825-1656
(260) 489-1100
(260) 489-1800
Mailing address
10215 DUPONT CIRCLE DR W, FORT WAYNE, IN 46825-1656
(260) 489-1100
(260) 489-1800
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12010145A
IN
Other
Enumeration date
11/28/2006
Last updated
01/07/2016
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