Mid-Towne Dental Associates, S.c.

NPI #1346503844 in Nekoosa, Wisconsin

Provider Information

NPI Number: 1346503844
Entity Type: Organization
Organization Name: Mid-Towne Dental Associates, S.c.
Subpart: Yes (part of a larger organization)
Parent Organization: MID-TOWNE DENTAL ASSOCIATES, S.C.
Primary Specialty: Dentist
Enumeration Date: Jun 19, 2012
Last Updated: Aug 1, 2012

Practice Location

Address: 1160 ROME CENTER DR
City: Nekoosa
State: Wisconsin
ZIP Code: 54457-8705
Phone: (715) 325-7577

Authorized Official

Name: MRS. VANESSA M WEBB
Title: BUSINESS MANAGER
Phone: (715) 423-3322

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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