Associated Periodontics
NPI #1699151324 in Fond Du Lac, Wisconsin
Provider Information
- NPI Number
- 1699151324
- Entity Type
- Organization
- Organization Name
- Associated Periodontics
- Primary Specialty
- Dentist - Periodontics
- Enumeration Date
- Aug 4, 2015
- Last Updated
- Aug 4, 2015
Practice Location
- Address
- 525 E DIVISION ST
- City
- Fond Du Lac
- State
- Wisconsin
- ZIP Code
- 54935-3747
- Phone
- (920) 922-7700
Authorized Official
- Name
- PAUL SVOBODA, DDS, MSD
- Title
- OWNER
- Phone
- (920) 922-7700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Periodontics — Periodontics |
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