| Mdc Oshkosh Ii, L.l.c. | |
|
1795 W Pointe Dr Oshkosh WI 54902-4297 | |
| (920) 235-6453 | |
| Not Available |
| Full Name | Mdc Oshkosh Ii, L.l.c. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1795 W Pointe Dr, Oshkosh, Wisconsin |
| Authorized Official Name and Position | Bernard Joseph Bolka (CFO) |
| Authorized Official Contact | 9205793188 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mdc Oshkosh Ii, L.l.c. Po Box 1658 Fond Du Lac WI 54936-1658 Ph: (920) 579-3188 | Mdc Oshkosh Ii, L.l.c. 1795 W Pointe Dr Oshkosh WI 54902-4297 Ph: (920) 235-6453 |
| NPI Number | 1841845674 |
|---|---|
| Provider Enumeration Date | 08/08/2019 |
| Last Update Date | 08/08/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841845674 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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