Family Dentistry | |
301 E 2nd St Merrill WI 54452-2317 | |
(715) 539-3211 | |
Not Available |
Full Name | Family Dentistry |
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Speciality | Dentist - General Practice |
Location | 301 E 2nd St, Merrill, Wisconsin |
Authorized Official Name and Position | Dan W Rajek (DENTIST) |
Authorized Official Contact | 7155362282 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Family Dentistry 301 E 2nd St Merrill WI 54452-2317 Ph: () - | Family Dentistry 301 E 2nd St Merrill WI 54452-2317 Ph: (715) 539-3211 |
NPI Number | 1174726194 |
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Provider Enumeration Date | 06/07/2007 |
Last Update Date | 06/19/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174726194 | NPI | - | NPPES |
1861438897 | Other | WI | NPI- TYPE 1 |
5002139 | Other | WI | LISCENSE NUMBER (WI) |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 5002139 (Wisconsin) | Primary |
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