| Dental Assosiates | |
|
545 E Johnson St Fond Du Lac WI 54935-2856 | |
| (920) 924-9090 | |
| Not Available |
| Full Name | Dental Assosiates |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 545 E Johnson St, Fond Du Lac, Wisconsin |
| Authorized Official Name and Position | Marley Braker (PROVIDER CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 4148083031 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Assosiates 545 E Johnson St Fond Du Lac WI 54935-2856 Ph: (920) 924-9090 | Dental Assosiates 545 E Johnson St Fond Du Lac WI 54935-2856 Ph: (920) 924-9090 |
| NPI Number | 1558710269 |
|---|---|
| Provider Enumeration Date | 06/03/2016 |
| Last Update Date | 05/08/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558710269 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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