Family Dental Care | |
W6179 Neubert Rd Appleton WI 54913-7988 | |
(920) 757-9440 | |
(920) 757-9390 |
Full Name | Family Dental Care |
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Speciality | Dentist |
Location | W6179 Neubert Rd, Appleton, Wisconsin |
Authorized Official Name and Position | Veronica Tovar (OWNER) |
Authorized Official Contact | 9207579440 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Family Dental Care W6179 Neubert Rd Appleton WI 54913-7988 Ph: (920) 757-9440 | Family Dental Care W6179 Neubert Rd Appleton WI 54913-7988 Ph: (920) 757-9440 |
NPI Number | 1609021237 |
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Provider Enumeration Date | 11/24/2008 |
Last Update Date | 09/21/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609021237 | NPI | - | NPPES |
1750448171 | Other | WI | PERSONAL NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 5365-015 (Wisconsin) | Primary |
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