Service Corporation | |
1407 N 8th St Sheboygan WI 53081 | |
(920) 452-1110 | |
Not Available |
Full Name | Service Corporation |
---|---|
Speciality | Dentist |
Location | 1407 N 8th St, Sheboygan, Wisconsin |
Authorized Official Name and Position | James Peter Zientek (PRESIDENT) |
Authorized Official Contact | 9204521110 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Service Corporation 1407 N 8th St Sheboygan WI 53081 Ph: (920) 452-1110 | Service Corporation 1407 N 8th St Sheboygan WI 53081 Ph: (920) 452-1110 |
NPI Number | 1972653087 |
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Provider Enumeration Date | 01/11/2007 |
Last Update Date | 07/10/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972653087 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 1835G (Wisconsin) | Primary |
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Jeffrey Jh Holsen, Dds,sc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2905 S 12th St, Sheboygan, WI 53081 Phone: 920-459-8467 Fax: 920-459-9886 | |
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