Sparta Family Dentistry, LLC

NPI #1811354194 in Sparta, Wisconsin

Provider Information

NPI Number
1811354194
Entity Type
Organization
Organization Name
Sparta Family Dentistry, LLC
Primary Specialty
Dentist - General Practice
Enumeration Date
Jan 18, 2016
Last Updated
Jan 18, 2016

Practice Location

Address
311 JEFFERSON AVE
City
Sparta
ZIP Code
54656-2113
Phone
(608) 269-5008

Authorized Official

Name
DR. ALAN DOMEYER, D.D.S.
Title
PRESIDENT
Phone
(715) 302-2329

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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