| Fowler Memorial Free Dental Clinic | |
|
N3150 Highway 81 Suite B-14 Monroe WI 53566-9397 | |
| (608) 328-9404 | |
| Not Available |
| Full Name | Fowler Memorial Free Dental Clinic |
|---|---|
| Speciality | Dentist - General Practice |
| Location | N3150 Highway 81, Monroe, Wisconsin |
| Authorized Official Name and Position | Annamaria Bliven (CLINIC COORDINATOR) |
| Authorized Official Contact | 6085582948 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fowler Memorial Free Dental Clinic N3150 Highway 81 Suite B-14 Monroe WI 53566-9397 Ph: (608) 328-9404 | Fowler Memorial Free Dental Clinic N3150 Highway 81 Suite B-14 Monroe WI 53566-9397 Ph: (608) 328-9404 |
| NPI Number | 1073754024 |
|---|---|
| Provider Enumeration Date | 03/19/2009 |
| Last Update Date | 03/19/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073754024 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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