Associated Family Dentistry Llc

NPI 1053430991 - Dentist - 1223G0001X

NPI Details
NPI 1053430991
Enumeration Date 03/29/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name TAMMY TOMCHEK TAMMY
Position OFFICE MANAGER
Phone (920) 922-7012
Fax (920) 921-7101
Practice Location
845 S MAIN ST
SUITE 130
FOND DU LAC WI, 54935-6174, US
Phone (920) 922-7012
Fax (920) 921-7101
Business Location
845 S MAIN ST
SUITE 130
FOND DU LAC WI, 54935-6174, US
Phone (920) 922-7012
Fax (920) 921-7101
Toxanomy
Taxonomy Code 1223G0001X
License State Wisconsin
License Number 4618-015
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According to our database, Associated Family Dentistry Llc NPI is 1053430991, taxonomy code is 1223G0001X and license number is 4618-015, license state is located at Wisconsin. Associated Family Dentistry Llc physically located at 845 S Main St, Fond Du Lac WI, 54935-6174. NPI Number 1033115704 has the healthcare provider type.

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1053430991 NPI number is provided on an as is basis without warranty of any kind. 1053430991 is maintained by the National Plan & Provider Enumeration System. The contents of Associated Family Dentistry Llc are for informational purposes only.