Mt Horeb Dental

NPI #1871839779 in Mount Horeb, Wisconsin

Provider Information

NPI Number: 1871839779
Entity Type: Organization
Organization Name: Mt Horeb Dental
Primary Specialty: Dentist - General Practice
Enumeration Date: Dec 20, 2012
Last Updated: Dec 20, 2012

Practice Location

Address: 303 E MAIN ST
City: Mount Horeb
State: Wisconsin
ZIP Code: 53572-2032
Phone: (608) 437-5519

Authorized Official

Name: GENIE KUBLE
Title: CONTACT OFFICER
Phone: (920) 450-0157

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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