Mt Calvary Dental Llc | |
100 Evergreen Rd Mount Calvary WI 53057-9726 | |
(920) 753-2771 | |
Not Available |
Full Name | Mt Calvary Dental Llc |
---|---|
Speciality | Clinic/center - Dental |
Location | 100 Evergreen Rd, Mount Calvary, Wisconsin |
Authorized Official Name and Position | Caitlin Bloomer (OWNER/DENTIST) |
Authorized Official Contact | 9206451219 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Mt Calvary Dental Llc 3500 Woodview Ln Saukville WI 53080-1400 Ph: (920) 645-1219 | Mt Calvary Dental Llc 100 Evergreen Rd Mount Calvary WI 53057-9726 Ph: (920) 753-2771 |
NPI Number | 1780288977 |
---|---|
Provider Enumeration Date | 11/28/2020 |
Last Update Date | 11/28/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1780288977 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |