Juntunen Dental Llc | |
115 S 8th St Depere WI 54115-1399 | |
(920) 336-9002 | |
(920) 336-8304 |
Full Name | Juntunen Dental Llc |
---|---|
Speciality | Dentist - General Practice |
Location | 115 S 8th St, Depere, Wisconsin |
Authorized Official Name and Position | Peter Jason Juntunen (DOCTOR DENTIST) |
Authorized Official Contact | 9203369002 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Juntunen Dental Llc 115 S 8th St Depere WI 54115-1399 Ph: (920) 336-9002 | Juntunen Dental Llc 115 S 8th St Depere WI 54115-1399 Ph: (920) 336-9002 |
NPI Number | 1821173006 |
---|---|
Provider Enumeration Date | 10/26/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821173006 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |