Campbellsport Family Dentistry, LLC

NPI #1073368254 in Campbellsport, Wisconsin

Provider Information

NPI Number
1073368254
Entity Type
Organization
Organization Name
Campbellsport Family Dentistry, LLC
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Apr 20, 2024
Last Updated
Apr 20, 2024

Practice Location

Address
130 N FOND DU LAC AVE
ZIP Code
53010-2787
Phone
(920) 533-8512

Authorized Official

Name
DANIEL STEVENS, DDS
Title
OWNER
Phone
(608) 957-4663

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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