Fond Du Lac Family Dentistry, LLC

NPI #1982271763 in Fond Du Lac, Wisconsin

Provider Information

NPI Number
1982271763
Entity Type
Organization
Organization Name
Fond Du Lac Family Dentistry, LLC
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Jun 9, 2021
Last Updated
Jun 9, 2021

Practice Location

Address
145 S MARR ST STE 1
ZIP Code
54935-4419
Phone
(920) 922-9000

Authorized Official

Name
DR. DANIEL STEVENS, DDS
Title
OWNER/DENTIST
Phone
(920) 922-9000

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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