| Cjs Dental Care Llc | |
|
2225 Kaftan Way De Pere WI 54115-4052 | |
| (920) 983-3800 | |
| Not Available |
| Full Name | Cjs Dental Care Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2225 Kaftan Way, De Pere, Wisconsin |
| Authorized Official Name and Position | Cole Stockheimer (OWNER) |
| Authorized Official Contact | 9208191714 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cjs Dental Care Llc 2225 Kaftan Way De Pere WI 54115-4052 Ph: (920) 983-3800 | Cjs Dental Care Llc 2225 Kaftan Way De Pere WI 54115-4052 Ph: (920) 983-3800 |
| NPI Number | 1780411215 |
|---|---|
| Provider Enumeration Date | 09/18/2024 |
| Last Update Date | 09/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780411215 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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