Village Family Dental Asscociates
NPI #1174500813 in Black Earth, Wisconsin
Provider Information
- NPI Number
- 1174500813
- Entity Type
- Organization
- Organization Name
- Village Family Dental Asscociates
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Dec 23, 2005
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1209 MILLS ST
- City
- Black Earth
- State
- Wisconsin
- ZIP Code
- 53515-9420
- Phone
- (608) 767-3604
Authorized Official
- Name
- MICHAEL F PEEPLES, DDS
- Title
- PRESIDENT OF CORPORATION
- Phone
- (608) 643-8505
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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