Jackson Family Dentistry LLC
NPI #1114317815 in Jackson, Wisconsin
Provider Information
- NPI Number
- 1114317815
- Entity Type
- Organization
- Organization Name
- Jackson Family Dentistry LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Feb 2, 2015
- Last Updated
- Feb 2, 2015
Practice Location
Authorized Official
- Name
- DR. SCOTT WILLIAM CHARMOLI, DDS
- Title
- OWNER
- Phone
- (262) 677-3003
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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