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15738 W National Ave New Berlin WI 53151-5119 | |
(262) 784-2110 | |
Not Available |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 15738 W National Ave, New Berlin, Wisconsin |
Authorized Official Name and Position | Christopher Twohig (DIRECTOR OF DEVELOPMNET) |
Authorized Official Contact | 9206020007 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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7 Sheboygan St Fond Du Lac WI 54935-4281 Ph: (920) 602-0007 | 15738 W National Ave New Berlin WI 53151-5119 Ph: (262) 784-2110 |
NPI Number | 1528515640 |
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Provider Enumeration Date | 09/07/2016 |
Last Update Date | 09/07/2016 |
Identifier | Type | State | Issuer |
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1528515640 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Thomas J Volm Dds Sc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 15738 W National Ave, New Berlin, WI 53151 Phone: 262-784-2110 Fax: 262-784-9451 | |
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