| Delavan Family Dental | |
|
614 E Walworth Ave Delavan WI 53115-1249 | |
| (262) 728-9117 | |
| Not Available |
| Full Name | Delavan Family Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 614 E Walworth Ave, Delavan, Wisconsin |
| Authorized Official Name and Position | Genie Kuble (CONTACT OFFICER) |
| Authorized Official Contact | 9204500157 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Delavan Family Dental 614 E Walworth Ave Delavan WI 53115-1249 Ph: () - | Delavan Family Dental 614 E Walworth Ave Delavan WI 53115-1249 Ph: (262) 728-9117 |
| NPI Number | 1922490655 |
|---|---|
| Provider Enumeration Date | 03/04/2015 |
| Last Update Date | 03/04/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922490655 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
The Dentist Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 134 S 4th St, Delavan, WI 53115 Phone: 262-728-9330 | |
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