|
| |
|
3131 Milton Ave Ste 190 Janesville WI 53545-0244 | |
| (608) 302-4444 | |
| (608) 754-4436 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3131 Milton Ave Ste 190, Janesville, Wisconsin |
| Authorized Official Name and Position | Kim Van Camp (PROVIDER RELATIONS SPECIALIST) |
| Authorized Official Contact | 3154646000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 3189 Syracuse NY 13220-3189 Ph: (866) 273-8204 | 3131 Milton Ave Ste 190 Janesville WI 53545-0244 Ph: (608) 302-4444 |
| NPI Number | 1740679448 |
|---|---|
| Provider Enumeration Date | 01/19/2015 |
| Last Update Date | 01/19/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740679448 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5001352 (Wisconsin) | Primary |
Contemporary Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4425 Woodgate Drive, Janesville, WI 53546 Phone: 608-531-0555 | |
Dr. Mark Boeche D.d.s. Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1915 E Milwaukee St, Janesville, WI 53545 Phone: 608-754-5768 Fax: 608-754-7195 | |
Winter & Winter Sc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2203 Holiday Dr, Janesville, WI 53545 Phone: 608-752-2931 | |
Robinson & Prijic Dental Associates, Sc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1714 N Randall Ave, Janesville, WI 53545 Phone: 608-756-1229 |