Dental Park Sc

NPI #1386636959 in Manitowoc, Wisconsin

Provider Information

NPI Number
1386636959
Entity Type
Organization
Organization Name
Dental Park Sc
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Aug 18, 2005
Last Updated
Jul 21, 2022

Practice Location

Address
1503 RANDOLPH CT
ZIP Code
54220-8345
Phone
(920) 682-0321

Authorized Official

Name
DR. DANIEL ROBERT BOETTCHER, DDS
Title
PARTNER SECRETARY
Phone
(920) 682-0321

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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