Mitchell Seubert, D.D.S.

NPI #1063946440 in Portage, Wisconsin

Provider Information

NPI Number: 1063946440
Entity Type: Individual
Name: Mitchell Seubert, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Credential: D.D.S.
Enumeration Date: Apr 12, 2017
Last Updated: Apr 12, 2017

Practice Location

Address: 260 W COOK ST
City: Portage
State: Wisconsin
ZIP Code: 53901-2106
Phone: (608) 742-2331

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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