Waushara Dental Associates S.c.

NPI #1649382946 in Wautoma, Wisconsin

Provider Information

NPI Number: 1649382946
Entity Type: Organization
Organization Name: Waushara Dental Associates S.c.
Primary Specialty: Dentist - General Practice
Enumeration Date: Aug 31, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: N2888 STATE ROAD 22
City: Wautoma
State: Wisconsin
ZIP Code: 54982-5265
Phone: (920) 787-3200

Authorized Official

Name: ROBERT K BENNOT
Title: PRESIDENT
Phone: (920) 787-3200

Specialties & Taxonomy Codes

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

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