Glacier Dental

NPI #1649498528 in Oshkosh, Wisconsin

Provider Information

NPI Number: 1649498528
Entity Type: Organization
Organization Name: Glacier Dental
Primary Specialty: Dentist - General Practice
Enumeration Date: Apr 23, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 1840 EVANS ST
City: Oshkosh
State: Wisconsin
ZIP Code: 54901-2362
Phone: (920) 235-3251

Authorized Official

Name: DR. WYN STECKBAUER, D.M.D.
Title: DENTIST
Phone: (920) 235-3251

Specialties & Taxonomy Codes

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

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