| Maury Family Dental Llc | |
|
145 S Marr St Fond Du Lac WI 54935-4408 | |
| (920) 921-6260 | |
| Not Available |
| Full Name | Maury Family Dental Llc |
|---|---|
| Speciality | Dentist |
| Location | 145 S Marr St, Fond Du Lac, Wisconsin |
| Authorized Official Name and Position | Chris Maury (OWNER) |
| Authorized Official Contact | 9209216260 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maury Family Dental Llc 145 S Marr St Fond Du Lac WI 54935-4408 Ph: () - | Maury Family Dental Llc 145 S Marr St Fond Du Lac WI 54935-4408 Ph: (920) 921-6260 |
| NPI Number | 1174992937 |
|---|---|
| Provider Enumeration Date | 09/22/2015 |
| Last Update Date | 10/07/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174992937 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 5369015 (Wisconsin) | Primary |
| 332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | 5369015 (Wisconsin) | Secondary |
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