Marathon Family Dentistry, LLC

NPI #1073026936 in Marathon, Wisconsin

Provider Information

NPI Number
1073026936
Entity Type
Organization
Organization Name
Marathon Family Dentistry, LLC
Primary Specialty
Dentist
Enumeration Date
Nov 14, 2017
Last Updated
Nov 14, 2017

Practice Location

Address
981 BLUE STONE LN
ZIP Code
54448-6800
Phone
(715) 443-2200

Authorized Official

Name
OLGA GRENOVA
Title
DIRECTOR OF ACCOUNTING
Phone
(608) 833-2213

Specialties & Taxonomy Codes

Specialty
Dentist

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