| Complete Mobile Dentistry, Inc | |
|
4300 Duraform Ln Windsor WI 53598-9671 | |
| (608) 217-4536 | |
| Not Available |
| Full Name | Complete Mobile Dentistry, Inc |
|---|---|
| Speciality | Dentist |
| Location | 4300 Duraform Ln, Windsor, Wisconsin |
| Authorized Official Name and Position | Lisa Ann Hartig (OWNER) |
| Authorized Official Contact | 6082174536 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Complete Mobile Dentistry, Inc 4300 Duraform Ln Windsor WI 53598-9671 Ph: (608) 217-4536 | Complete Mobile Dentistry, Inc 4300 Duraform Ln Windsor WI 53598-9671 Ph: (608) 217-4536 |
| NPI Number | 1780468397 |
|---|---|
| Provider Enumeration Date | 08/23/2023 |
| Last Update Date | 08/23/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780468397 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
Windsor Family Dental, S.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6729 Lake Road, Windsor, WI 53598 Phone: 608-846-5407 Fax: 608-846-2493 |