Theresa Gardocki, DENTIS

NPI #1801987631 in Oregon, Wisconsin

Provider Information

NPI Number: 1801987631
Entity Type: Individual
Name: Theresa Gardocki, DENTIS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DENTIS
Enumeration Date: Sep 27, 2006
Last Updated: Jan 26, 2009

Practice Location

Address: 600 PLEASANT OAK DR
City: Oregon
State: Wisconsin
ZIP Code: 53575-3648
Phone: (608) 835-3388

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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Organizations

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