| Garrison Hdh Llc | |
|
1530 Doris Dr. Fort Atkinson WI 53538 | |
| (920) 563-9373 | |
| (920) 563-4664 |
| Full Name | Garrison Hdh Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1530 Doris Dr., Fort Atkinson, Wisconsin |
| Authorized Official Name and Position | James Paul Garrison (MANAGER) |
| Authorized Official Contact | 9205639373 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Garrison Hdh Llc 1530 Doris Dr. Fort Atkinson WI 53538 Ph: (920) 563-9373 | Garrison Hdh Llc 1530 Doris Dr. Fort Atkinson WI 53538 Ph: (920) 563-9373 |
| NPI Number | 1932269875 |
|---|---|
| Provider Enumeration Date | 12/11/2006 |
| Last Update Date | 06/07/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932269875 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5000615015 (Wisconsin) | Primary |
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