Dudley Family Dental LLC

NPI #1972104222 in Oshkosh, Wisconsin

Provider Information

NPI Number: 1972104222
Entity Type: Organization
Organization Name: Dudley Family Dental LLC
Primary Specialty: Dentist
Enumeration Date: Nov 3, 2020
Last Updated: Nov 3, 2020

Practice Location

Address: 1763 TAFT AVE
City: Oshkosh
State: Wisconsin
ZIP Code: 54902-3220
Phone: (920) 233-1927

Authorized Official

Name: MITCH WEILAND
Title: SENIOR ACCOUNTANT
Phone: (608) 343-0818

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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