| Oshkosh Family Dental Llc | |
|
1815 W Pointe Dr Oshkosh WI 54902-4174 | |
| (608) 833-2213 | |
| Not Available |
| Full Name | Oshkosh Family Dental Llc |
|---|---|
| Speciality | Dentist |
| Location | 1815 W Pointe Dr, Oshkosh, Wisconsin |
| Authorized Official Name and Position | Olga Grenova (CONTROLLER) |
| Authorized Official Contact | 6082155899 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oshkosh Family Dental Llc 8025 Excelsior Dr Madison WI 53717-1900 Ph: (608) 833-2213 | Oshkosh Family Dental Llc 1815 W Pointe Dr Oshkosh WI 54902-4174 Ph: (608) 833-2213 |
| NPI Number | 1699236240 |
|---|---|
| Provider Enumeration Date | 03/27/2019 |
| Last Update Date | 03/27/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699236240 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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