Modern Dental Center Oshkosh LLC

NPI #1538815733 in Oshkosh, Wisconsin

Provider Information

NPI Number
1538815733
Entity Type
Organization
Organization Name
Modern Dental Center Oshkosh LLC
Primary Specialty
Dentist
Enumeration Date
Feb 25, 2022
Last Updated
Feb 25, 2022

Practice Location

Address
1795 W POINTE DR
ZIP Code
54902-4297
Phone
(920) 235-6453

Authorized Official

Name
MICHAEL COLE
Title
VP INSURANCE PLAN MANAGEMENT
Phone
(727) 424-2990

Specialties & Taxonomy Codes

Specialty
Dentist

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