Beaver Dam Dental LLC
NPI #1699985051 in Beaver Dam, Wisconsin
Provider Information
- NPI Number
- 1699985051
- Entity Type
- Organization
- Organization Name
- Beaver Dam Dental LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- STEPPING STONE DENTAL PARTNERS
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 23, 2007
- Last Updated
- Jan 31, 2013
Practice Location
- Address
- 302 N SPRING ST
- City
- Beaver Dam
- State
- Wisconsin
- ZIP Code
- 53916-2044
- Phone
- (920) 887-8421
Authorized Official
- Name
- MRS. GENEVIEVE E POPPE
- Title
- PARTNER
- Phone
- (608) 358-3370
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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