Fitchburg Dental Clinic, S.c.

NPI 1114083342 - Dentist - 1223G0001X

NPI Details
NPI 1114083342
Enumeration Date 12/30/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name MICHAEL JOSEPH MICHAEL
Position PRESIDENT
Phone (608) 274-6232
Fax (608) 274-9444
Practice Location
3070 FISH HATCHERY RD
FITCHBURG WI, 53713-3187, US
Phone (608) 274-6232
Fax (608) 274-9444
Business Location
3070 FISH HATCHERY RD
FITCHBURG WI, 53713-3187, US
Phone (608) 274-6232
Fax (608) 274-9444
Toxanomy
Taxonomy Code 1223G0001X
License State Wisconsin
License Number 5001328-015
Remove 1114083342 NPI Number
 

According to our database, Fitchburg Dental Clinic, S.c. NPI is 1114083342, taxonomy code is 1223G0001X and license number is 5001328-015, license state is located at Wisconsin. Fitchburg Dental Clinic, S.c. physically located at 3070 Fish Hatchery Rd, Fitchburg WI, 53713-3187. NPI Number 1033115704 has the healthcare provider type.

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1114083342 NPI number is provided on an as is basis without warranty of any kind. 1114083342 is maintained by the National Plan & Provider Enumeration System. The contents of Fitchburg Dental Clinic, S.c. are for informational purposes only.