in Fort Atkinson - Dentist

- NPI 1467662395

is a Dentist in Fort Atkinson, Wisconsin. practices all healthcare services and medical treatments related to Dentist. The NPI Number for is 1467662395. The last update date is .

's current location address is 501 Mcmillen St, Fort Atkinson, Wisconsin. You can contact this provider via phone number 9205636373. The mailing address for is 501 Mcmillen St, Fort Atkinson, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name
Address 501 Mcmillen St, Fort Atkinson, Wisconsin
Phone Number 9205636373
Fax Number
Sole Proprietor --
Credentials --

NPI Number Detail

NPI Number 1467662395
Provider Enumeration Date
Last Updated Date

Provider Mailing Address Detail

Address 501 Mcmillen St
City Fort Atkinson
State Wisconsin (WI)
Post Code 535381202
Phone Number 9205636373
Fax Number

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 5001533
Definition:
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti

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