| Associated Family Dentistry Llc | |
|
845 S Main St Suite 130 Fond Du Lac WI 54935-6174 | |
| (920) 922-7012 | |
| (920) 921-7101 |
| Full Name | Associated Family Dentistry Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 845 S Main St, Fond Du Lac, Wisconsin |
| Authorized Official Name and Position | Tammy Tomchek Sarauer (OFFICE MANAGER) |
| Authorized Official Contact | 9209227012 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Associated Family Dentistry Llc 845 S Main St Suite 130 Fond Du Lac WI 54935-6174 Ph: (920) 922-7012 | Associated Family Dentistry Llc 845 S Main St Suite 130 Fond Du Lac WI 54935-6174 Ph: (920) 922-7012 |
| NPI Number | 1053430991 |
|---|---|
| Provider Enumeration Date | 03/29/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053430991 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4618-015 (Wisconsin) | Primary |
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