New London Family Dental LLC
NPI #1154890549 in New London, Wisconsin
Provider Information
- NPI Number
- 1154890549
- Entity Type
- Organization
- Organization Name
- New London Family Dental LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Nov 15, 2018
- Last Updated
- Jun 12, 2020
Practice Location
- Address
- 105 NORTH RIDGE DR
- City
- New London
- State
- Wisconsin
- ZIP Code
- 54961-5496
- Phone
- (920) 982-3567
Authorized Official
- Name
- KAYLA THORPE
- Title
- OFFICE MANAGER
- Phone
- (920) 982-3567
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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