Sheboygan Family Dentistry LLC

NPI #1508479676 in Sheboygan, Wisconsin

Provider Information

NPI Number: 1508479676
Entity Type: Organization
Organization Name: Sheboygan Family Dentistry LLC
Primary Specialty: Dentist
Enumeration Date: Aug 28, 2020
Last Updated: Aug 28, 2020

Practice Location

Address: 1407 N 8TH ST STE 101
City: Sheboygan
State: Wisconsin
ZIP Code: 53081-3400
Phone: (920) 458-8389

Authorized Official

Name: MITCH WEILAND
Title: SENIOR ACCOUNTANT
Phone: (608) 343-0818

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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