| Clyde P. Houston Dds Inc | |
|
1220 Mark Ave Tomah WI 54660-1199 | |
| (608) 372-4455 | |
| Not Available |
| Full Name | Clyde P. Houston Dds Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1220 Mark Ave, Tomah, Wisconsin |
| Authorized Official Name and Position | Clyde Philip Houston (OWNER) |
| Authorized Official Contact | 6083724455 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clyde P. Houston Dds Inc 1220 Mark Ave Tomah WI 54660-1199 Ph: (608) 372-4455 | Clyde P. Houston Dds Inc 1220 Mark Ave Tomah WI 54660-1199 Ph: (608) 372-4455 |
| NPI Number | 1730196486 |
|---|---|
| Provider Enumeration Date | 08/02/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730196486 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2815 (Wisconsin) | Primary |
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