Winneconne Family Dentistry
NPI #1760728166 in Winneconne, Wisconsin
Provider Information
- NPI Number
- 1760728166
- Entity Type
- Organization
- Organization Name
- Winneconne Family Dentistry
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Dec 13, 2012
- Last Updated
- Dec 13, 2012
Practice Location
- Address
- 902 E MAIN ST
- City
- Winneconne
- State
- Wisconsin
- ZIP Code
- 54986-9782
- Phone
- (920) 582-4427
Authorized Official
- Name
- DR. RYAN JOSEPH GONZALEZ, D.D.S
- Title
- PRESIDENT
- Phone
- (414) 202-9184
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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