Podoll Dental, LLC
NPI #1386161420 in Fort Atkinson, Wisconsin
Provider Information
- NPI Number
- 1386161420
- Entity Type
- Organization
- Organization Name
- Podoll Dental, LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Aug 29, 2017
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 715 SHERMAN AVE E
- City
- Fort Atkinson
- State
- Wisconsin
- ZIP Code
- 53538-1992
- Phone
- (763) 360-0841
Authorized Official
- Name
- DR. SARA PODOLL, DDS
- Title
- DENTIST
- Phone
- (920) 563-4322
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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