Fort Family Dental Center, Sc
NPI #1942314067 in Fort Atkinson, Wisconsin
Provider Information
- NPI Number
- 1942314067
- Entity Type
- Organization
- Organization Name
- Fort Family Dental Center, Sc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Aug 18, 2006
- Last Updated
- Aug 20, 2008
Practice Location
- Address
- 715 SHERMAN AVE E
- City
- Fort Atkinson
- State
- Wisconsin
- ZIP Code
- 53538-1992
- Phone
- (920) 563-4322
Authorized Official
- Name
- DAVID LUISIER, D.D.S.
- Title
- PRESIDENT
- Phone
- (920) 563-4322
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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