Kiel Family Dental LLC

NPI #1922461888 in Kiel, Wisconsin

Provider Information

NPI Number
1922461888
Entity Type
Organization
Organization Name
Kiel Family Dental LLC
Primary Specialty
Dentist - General Practice
Enumeration Date
Mar 29, 2016
Last Updated
Mar 29, 2016

Practice Location

Address
403 FREMONT ST
City
Kiel
ZIP Code
53042-1316
Phone
(920) 898-2305

Authorized Official

Name
GREGORY FURDEK, D.D.S.
Title
OWNER / DENTIST
Phone
(920) 898-2305

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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