Fitchburg Dental Clinic, S.c.

NPI #1114083342 in Fitchburg, Wisconsin

Provider Information

NPI Number: 1114083342
Entity Type: Organization
Organization Name: Fitchburg Dental Clinic, S.c.
Primary Specialty: Dentist - General Practice
Enumeration Date: Dec 30, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 3070 FISH HATCHERY RD
City: Fitchburg
State: Wisconsin
ZIP Code: 53713-3187
Phone: (608) 274-6232

Authorized Official

Name: DR. MICHAEL JOSEPH REESE, D.D.S.
Title: PRESIDENT
Phone: (608) 274-6232

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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