Mdc North Fondy Sc
NPI #1225470842 in North Fond Du Lac, Wisconsin
Provider Information
- NPI Number
- 1225470842
- Entity Type
- Organization
- Organization Name
- Mdc North Fondy Sc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jul 24, 2013
- Last Updated
- Jul 24, 2013
Practice Location
- Address
- 825 PROSPECT AVE
- State
- Wisconsin
- ZIP Code
- 54937-1365
- Phone
- (920) 923-0310
Authorized Official
- Name
- DR. WILLIAM MAUTHE III
- Title
- OWNER
- Phone
- (920) 948-6407
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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