Northern Door Dental Sc
NPI #1013038207 in Sister Bay, Wisconsin
Provider Information
- NPI Number
- 1013038207
- Entity Type
- Organization
- Organization Name
- Northern Door Dental Sc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Apr 3, 2007
- Last Updated
- Jul 30, 2008
Practice Location
- Address
- 10589 S HIGHLAND RD STE 4
- City
- Sister Bay
- State
- Wisconsin
- ZIP Code
- 54234
- Phone
- (920) 854-5200
Authorized Official
- Name
- DR. THOMAS MALCOLM MAYHEW III, DDS
- Title
- DENTIST PRACTICE PRESIDENT OWNER
- Phone
- (920) 854-5200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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