| Regis Court Family Dental S.c. | |
|
1102 Regis Court Eau Claire WI 54701 | |
| (715) 835-3334 | |
| (715) 835-3386 |
| Full Name | Regis Court Family Dental S.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1102 Regis Court, Eau Claire, Wisconsin |
| Authorized Official Name and Position | Owen W. Johnson (DENTIST) |
| Authorized Official Contact | 7158353334 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Regis Court Family Dental S.c. 1102 Regis Court Eau Claire WI 54701 Ph: (715) 835-3334 | Regis Court Family Dental S.c. 1102 Regis Court Eau Claire WI 54701 Ph: (715) 835-3334 |
| NPI Number | 1679783443 |
|---|---|
| Provider Enumeration Date | 05/23/2007 |
| Last Update Date | 09/26/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679783443 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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