Whitewater Family Dentistry
NPI #1548429970 in Whitewater, Wisconsin
Provider Information
- NPI Number
- 1548429970
- Entity Type
- Organization
- Organization Name
- Whitewater Family Dentistry
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jun 2, 2008
- Last Updated
- May 16, 2016
Practice Location
- Address
- 1515 W MAIN ST
- City
- Whitewater
- State
- Wisconsin
- ZIP Code
- 53190-1957
- Phone
- (262) 473-3700
Authorized Official
- Name
- GENIE KUBLE
- Title
- CONTACT OFFICER
- Phone
- (920) 450-0157
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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