Poth Family Dental, S.c.

NPI #1376747493 in Fredonia, Wisconsin

Provider Information

NPI Number
1376747493
Entity Type
Organization
Organization Name
Poth Family Dental, S.c.
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Jun 13, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
100 MARTIN DR
ZIP Code
53021-9455
Phone
(262) 692-2461

Authorized Official

Name
DR. JOHN EVERETT POTH, DDS
Title
PRESIDENT
Phone
(262) 692-2461

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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