| Mdc Castle Rock | |
|
205 Division St Mauston WI 53948-2109 | |
| (608) 847-5572 | |
| Not Available |
| Full Name | Mdc Castle Rock |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 205 Division St, Mauston, Wisconsin |
| Authorized Official Name and Position | Bernard Bolka (CFO) |
| Authorized Official Contact | 9205793188 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mdc Castle Rock Po Box 1658 Fond Du Lac WI 54936-1658 Ph: () - | Mdc Castle Rock 205 Division St Mauston WI 53948-2109 Ph: (608) 847-5572 |
| NPI Number | 1124689914 |
|---|---|
| Provider Enumeration Date | 06/24/2019 |
| Last Update Date | 06/24/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124689914 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Ma Marcie Yang Dds, Ms Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 510 E State St, Mauston, WI 53948 Phone: 920-912-7161 | |
Castle Rock Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 Division St Ste B, Mauston, WI 53948 Phone: 608-847-5572 |