Winneconne Family Dentistry Acquisition LLC
NPI #1093415283 in Winneconne, Wisconsin
Provider Information
- NPI Number
- 1093415283
- Entity Type
- Organization
- Organization Name
- Winneconne Family Dentistry Acquisition LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Mar 6, 2023
- Last Updated
- Mar 6, 2023
Practice Location
- Address
- 902 E MAIN ST
- City
- Winneconne
- State
- Wisconsin
- ZIP Code
- 54986-9782
- Phone
- (920) 705-1123
Authorized Official
- Name
- JULIE VANDEHEY
- Title
- DENTIST
- Phone
- (920) 229-7092
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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