Mdc Castle Rock

NPI #1124689914 in Mauston, Wisconsin

Provider Information

NPI Number
1124689914
Entity Type
Organization
Organization Name
Mdc Castle Rock
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Jun 24, 2019
Last Updated
Jun 24, 2019

Practice Location

Address
205 DIVISION ST
ZIP Code
53948-2109
Phone
(608) 847-5572

Authorized Official

Name
BERNARD BOLKA
Title
CFO
Phone
(920) 579-3188

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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