Associated Periodontics | |
525 E Division St Fond Du Lac WI 54935-3747 | |
(920) 922-7700 | |
Not Available |
Full Name | Associated Periodontics |
---|---|
Speciality | Dentist - Periodontics |
Location | 525 E Division St, Fond Du Lac, Wisconsin |
Authorized Official Name and Position | Paul Svoboda (OWNER) |
Authorized Official Contact | 9209227700 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Associated Periodontics 525 E Division St Fond Du Lac WI 54935-3747 Ph: (920) 922-7700 | Associated Periodontics 525 E Division St Fond Du Lac WI 54935-3747 Ph: (920) 922-7700 |
NPI Number | 1699151324 |
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Provider Enumeration Date | 08/04/2015 |
Last Update Date | 08/04/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699151324 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0300X | Dentist - Periodontics | 2302-015 (Wisconsin) | Primary |
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