James M Roadt DDS

NPI 1073674560 - Dentist - 122300000X

NPI Details
NPI 1073674560
Gender Male
Enumeration Date 12/12/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
W23657050 BIG BEND DRIVE
BIG BEND WI, 53103, US
Phone (262) 662-1111
Fax (262) 622-2111
Business Location
W23657050 BIG BEND DRIVE
BIG BEND WI, 53103, US
Phone (262) 662-1111
Fax (262) 622-2111
Toxanomy
Taxonomy Code 122300000X
License State Wisconsin
License Number 3754015
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According to our database, Dr. James M Roadt DDS NPI is 1073674560, taxonomy code is 122300000X and license number is 3754015, license state is located at Wisconsin. James M Roadt DDS physically located at W23657050 Big Bend Drive, Big Bend WI, 53103. NPI Number James M Roadt DDS has the Individual type.

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1073674560 NPI number is provided on an as is basis without warranty of any kind. 1073674560 is maintained by the National Plan & Provider Enumeration System. The contents of James M Roadt DDS are for informational purposes only.