| Davis Family Dental, Sc | |
|
1201 Oak St Ste D West Bend WI 53095-3800 | |
| (262) 310-1860 | |
| (262) 310-1861 |
| Full Name | Davis Family Dental, Sc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1201 Oak St Ste D, West Bend, Wisconsin |
| Authorized Official Name and Position | Tyler M Davis (OWNER) |
| Authorized Official Contact | 2623101860 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Davis Family Dental, Sc N161w20685 Kami Ln Jackson WI 53037-8937 Ph: (262) 622-1571 | Davis Family Dental, Sc 1201 Oak St Ste D West Bend WI 53095-3800 Ph: (262) 310-1860 |
| NPI Number | 1578322897 |
|---|---|
| Provider Enumeration Date | 03/18/2024 |
| Last Update Date | 03/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578322897 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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