| Depas Family Dental Care, S. C. | |
|
1431 Province Ter Menasha WI 54952-7003 | |
| (920) 968-1900 | |
| Not Available |
| Full Name | Depas Family Dental Care, S. C. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1431 Province Ter, Menasha, Wisconsin |
| Authorized Official Name and Position | David Arthur Depas (DENTIST - PRESIDENT) |
| Authorized Official Contact | 9209681900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Depas Family Dental Care, S. C. 1431 Province Ter Menasha WI 54952-7003 Ph: () - | Depas Family Dental Care, S. C. 1431 Province Ter Menasha WI 54952-7003 Ph: (920) 968-1900 |
| NPI Number | 1447316518 |
|---|---|
| Provider Enumeration Date | 12/31/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447316518 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4239-015 (Wisconsin) | Primary |
| 1223G0001X | Dentist - General Practice | 3894-015 (Wisconsin) | Secondary |
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