| Kiel Family Dental Llc | |
|
403 Fremont St Kiel WI 53042-1316 | |
| (920) 898-2305 | |
| (920) 894-3048 |
| Full Name | Kiel Family Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 403 Fremont St, Kiel, Wisconsin |
| Authorized Official Name and Position | Gregory Furdek (OWNER / DENTIST) |
| Authorized Official Contact | 9208982305 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kiel Family Dental Llc 403 Fremont St Kiel WI 53042-1316 Ph: (920) 898-2305 | Kiel Family Dental Llc 403 Fremont St Kiel WI 53042-1316 Ph: (920) 898-2305 |
| NPI Number | 1922461888 |
|---|---|
| Provider Enumeration Date | 03/29/2016 |
| Last Update Date | 03/29/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922461888 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 6322-15 (Wisconsin) | Primary |
Between The Lakes Sleep And Airway Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1250 Teckla Pl, Kiel, WI 53042 Phone: 920-894-2305 |