Mdc Oshkosh, S.c.

NPI #1639420094 in Oshkosh, Wisconsin

Provider Information

NPI Number: 1639420094
Entity Type: Organization
Organization Name: Mdc Oshkosh, S.c.
Primary Specialty: Dentist - General Practice
Enumeration Date: Sep 26, 2012
Last Updated: Sep 26, 2012

Practice Location

Address: 2215 OREGON ST
City: Oshkosh
State: Wisconsin
ZIP Code: 54902-7060
Phone: (920) 231-8120

Authorized Official

Name: DR. WILLIAM MAUTHE III, D.D.S.
Title: OWNER
Phone: (920) 948-6407

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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