| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1720 Congress Av, Oshkosh, Wisconsin |
| Authorized Official Name and Position | Janet Ann Krahenbuhl (OWNER) |
| Authorized Official Contact | 9202330400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1720 Congress Av Oshkosh WI 54901 Ph: (920) 233-0400 | 1720 Congress Av Oshkosh WI 54901 Ph: (920) 233-0400 |
| NPI Number | 1366545436 |
|---|---|
| Provider Enumeration Date | 09/06/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366545436 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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