| Menasha Family Dental Llc | |
|
1431 Province Ter Menasha WI 54952-7003 | |
| (920) 968-1900 | |
| Not Available |
| Full Name | Menasha Family Dental Llc |
|---|---|
| Speciality | Dentist |
| Location | 1431 Province Ter, Menasha, Wisconsin |
| Authorized Official Name and Position | Mitch Weiland (SENIOR ACCOUNTANT) |
| Authorized Official Contact | 6083430818 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Menasha Family Dental Llc 1431 Province Ter Menasha WI 54952-7003 Ph: (920) 968-1900 | Menasha Family Dental Llc 1431 Province Ter Menasha WI 54952-7003 Ph: (920) 968-1900 |
| NPI Number | 1093323685 |
|---|---|
| Provider Enumeration Date | 07/20/2020 |
| Last Update Date | 07/20/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093323685 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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