Mennonite Dental Clinic
NPI #1790045904 in Thorp, Wisconsin
Provider Information
- NPI Number
- 1790045904
- Entity Type
- Organization
- Organization Name
- Mennonite Dental Clinic
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- May 22, 2012
- Last Updated
- May 22, 2012
Practice Location
Authorized Official
- Name
- IRVIN SHIRK
- Title
- MANAGER
- Phone
- (715) 669-3790
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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