Delavan Family Dental

NPI #1922490655 in Delavan, Wisconsin

Provider Information

NPI Number
1922490655
Entity Type
Organization
Organization Name
Delavan Family Dental
Primary Specialty
Dentist - General Practice
Enumeration Date
Mar 4, 2015
Last Updated
Mar 4, 2015

Practice Location

Address
614 E WALWORTH AVE
ZIP Code
53115-1249
Phone
(262) 728-9117

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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