Fox River Dental Associates Sc

NPI #1629124375 in Berlin, Wisconsin

Provider Information

NPI Number
1629124375
Entity Type
Organization
Organization Name
Fox River Dental Associates Sc
Primary Specialty
Dentist - General Practice
Enumeration Date
Jan 26, 2007
Last Updated
Mar 10, 2008

Practice Location

Address
120 COMMERCIAL ST
City
Berlin
ZIP Code
54923-1737
Phone
(920) 361-3080

Authorized Official

Name
SHARON MATTICE
Title
OFFICE MANAGER
Phone
(920) 361-3080

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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