Family Dental Practice S.c. | |
1218 Witzel Ave Oshkosh WI 54902-5659 | |
(920) 231-7780 | |
(920) 233-9769 |
Full Name | Family Dental Practice S.c. |
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Speciality | Dentist - General Practice |
Location | 1218 Witzel Ave, Oshkosh, Wisconsin |
Authorized Official Name and Position | Thomas Harold Galow (PRESIDENT) |
Authorized Official Contact | 9202317780 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Family Dental Practice S.c. 1218 Witzel Ave Oshkosh WI 54902-5659 Ph: (920) 231-7780 | Family Dental Practice S.c. 1218 Witzel Ave Oshkosh WI 54902-5659 Ph: (920) 231-7780 |
NPI Number | 1326113200 |
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Provider Enumeration Date | 11/23/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1326113200 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 2990 (Wisconsin) | Primary |
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