Advanced Family Dental, Llc | |
1260 Plainview Rd Plain WI 53577-9790 | |
(608) 546-4441 | |
(608) 546-4442 |
Full Name | Advanced Family Dental, Llc |
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Speciality | Clinic/center - Dental |
Location | 1260 Plainview Rd, Plain, Wisconsin |
Authorized Official Name and Position | Michelle Anliker (OWNER) |
Authorized Official Contact | 6085464441 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Advanced Family Dental, Llc Po Box 211 Plain WI 53577-0211 Ph: (608) 546-4441 | Advanced Family Dental, Llc 1260 Plainview Rd Plain WI 53577-9790 Ph: (608) 546-4441 |
NPI Number | 1659887057 |
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Provider Enumeration Date | 12/20/2017 |
Last Update Date | 12/20/2017 |
Identifier | Type | State | Issuer |
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1659887057 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | 1001471-15 (Wisconsin) | Primary |