| Algoma Fama Dental Llc | |
|
1421 Lake St Algoma WI 54201-1449 | |
| (920) 487-2733 | |
| Not Available |
| Full Name | Algoma Fama Dental Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1421 Lake St, Algoma, Wisconsin |
| Authorized Official Name and Position | Daniel Fama (OWNER/DENTIST) |
| Authorized Official Contact | 5857055750 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Algoma Fama Dental Llc 1421 Lake St Algoma WI 54201-1449 Ph: () - | Algoma Fama Dental Llc 1421 Lake St Algoma WI 54201-1449 Ph: (920) 487-2733 |
| NPI Number | 1205668043 |
|---|---|
| Provider Enumeration Date | 08/19/2024 |
| Last Update Date | 08/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205668043 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Algoma Lakeview Dental Care, S.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1223 Lake St, Algoma, WI 54201 Phone: 920-487-5648 Fax: 920-487-5658 |