Paczkowski Family Dental, S.c.

NPI #1962621243 in Two Rivers, Wisconsin

Provider Information

NPI Number: 1962621243
Entity Type: Organization
Organization Name: Paczkowski Family Dental, S.c.
Primary Specialty: Dentist
Enumeration Date: Apr 24, 2007
Last Updated: Aug 5, 2008

Practice Location

Address: 1614 WASHINGTON ST
City: Two Rivers
State: Wisconsin
ZIP Code: 54241-3069
Phone: (920) 794-8911

Authorized Official

Name: DR. GERALD WILLIAM PACZKOWSKI JR.
Title: OWNER
Phone: (920) 794-8911

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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