| Steven R. Lindstrom D.d.s., S.c. | |
|
617 Ethan Allen Dr Howards Grove WI 53083-1267 | |
| (920) 565-3369 | |
| (920) 565-3360 |
| Full Name | Steven R. Lindstrom D.d.s., S.c. |
|---|---|
| Speciality | Dentist |
| Location | 617 Ethan Allen Dr, Howards Grove, Wisconsin |
| Authorized Official Name and Position | Steven Robert Lindstrom (PRESIDENT) |
| Authorized Official Contact | 9205653369 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Steven R. Lindstrom D.d.s., S.c. 617 Ethan Allen Dr Howards Grove WI 53083-1267 Ph: (920) 565-3369 | Steven R. Lindstrom D.d.s., S.c. 617 Ethan Allen Dr Howards Grove WI 53083-1267 Ph: (920) 565-3369 |
| NPI Number | 1215339130 |
|---|---|
| Provider Enumeration Date | 09/23/2014 |
| Last Update Date | 09/23/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215339130 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2295 (Wisconsin) | Primary |
Howards Grove Family Dental, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 617 Ethan Allen Dr, Howards Grove, WI 53083 Phone: 920-565-3369 Fax: 920-565-3360 |