Shoreline Periodontics Limited

NPI #1376789933 in Sheboygan, Wisconsin

Provider Information

NPI Number
1376789933
Entity Type
Organization
Organization Name
Shoreline Periodontics Limited
Primary Specialty
Dentist - Periodontics
Enumeration Date
Dec 31, 2008
Last Updated
Dec 31, 2008

Practice Location

Address
2808 KOHLER MEMORIAL DR
Address 2
SUITE 2
ZIP Code
53081-3177
Phone
(920) 452-8802

Authorized Official

Name
DR. HENRY WILLIAM HOGE, DDS MS
Title
OWNER
Phone
(920) 452-8802

Specialties & Taxonomy Codes

Specialty
Dentist - PeriodonticsPeriodontics

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