Charles C. Loberg D.d.s.,s.c.
NPI #1922130160 in New London, Wisconsin
Provider Information
- NPI Number
- 1922130160
- Entity Type
- Organization
- Organization Name
- Charles C. Loberg D.d.s.,s.c.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Mar 12, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 201 WISCONSIN ST
- City
- New London
- State
- Wisconsin
- ZIP Code
- 54961-1171
- Phone
- (920) 982-5181
Authorized Official
- Name
- DR. CHARLES CLAYTON LOBERG, D.D.S.
- Title
- PRESIDENT
- Phone
- (920) 982-5181
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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