| Ripon Family Dentistry | |
|
106 Watson St Ripon WI 54971-1327 | |
| (920) 748-7731 | |
| Not Available |
| Full Name | Ripon Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 106 Watson St, Ripon, Wisconsin |
| Authorized Official Name and Position | William C Mauthe (OWNER) |
| Authorized Official Contact | 9209211244 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ripon Family Dentistry 54 E 1st St Fond Du Lac WI 54935-4204 Ph: (920) 602-0007 | Ripon Family Dentistry 106 Watson St Ripon WI 54971-1327 Ph: (920) 748-7731 |
| NPI Number | 1376951673 |
|---|---|
| Provider Enumeration Date | 07/30/2014 |
| Last Update Date | 07/30/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376951673 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 6833 (Wisconsin) | Primary |
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