Mdc Omro, S.c.

NPI #1285976167 in Omro, Wisconsin

Provider Information

NPI Number
1285976167
Entity Type
Organization
Organization Name
Mdc Omro, S.c.
Primary Specialty
Dentist - General Practice
Enumeration Date
Mar 19, 2013
Last Updated
Mar 19, 2013

Practice Location

Address
1771 E MAIN ST
City
Omro
ZIP Code
54963-1594
Phone
(920) 685-2121

Authorized Official

Name
DR. WILLIAM MAUTHE III, D.D.S.
Title
OWNER
Phone
(920) 948-6407

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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