Hayward Family Dentistry Sc | |
10541 N Ranch Rd Hayward WI 54843 | |
(715) 634-2011 | |
(715) 634-1352 |
Full Name | Hayward Family Dentistry Sc |
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Speciality | Dentist |
Location | 10541 N Ranch Rd, Hayward, Wisconsin |
Authorized Official Name and Position | Patrick T Duffy (OWNER) |
Authorized Official Contact | 7156342011 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Hayward Family Dentistry Sc Po Box 1220 Hayward WI 54843 Ph: (715) 634-2011 | Hayward Family Dentistry Sc 10541 N Ranch Rd Hayward WI 54843 Ph: (715) 634-2011 |
NPI Number | 1083716906 |
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Provider Enumeration Date | 09/01/2006 |
Last Update Date | 11/16/2007 |
Identifier | Type | State | Issuer |
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1083716906 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 3762 (Wisconsin) | Primary |
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