Larsen Family Dental S.c.

NPI 1245280742 - Dentist - 122300000X

NPI Details
NPI 1245280742
Enumeration Date 05/12/2006
Last Updated 08/23/2013
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name ANDREA K ANDREA
Position OWNER
Phone (920) 885-6066
Fax (920) 885-6192
Practice Location
215 N. SPRING STREET
BEAVER DAM WI, 53916, US
Phone (920) 885-6066
Fax (920) 885-6192
Business Location
215 N. SPRING ST.
BEAVER DAM WI, 53916, US
Phone (920) 885-6066
Fax (920) 885-6192
Toxanomy
Taxonomy Code 122300000X
License State Wisconsin
License Number 500159515
Remove 1245280742 NPI Number
 

According to our database, Larsen Family Dental S.c. NPI is 1245280742, taxonomy code is 122300000X and license number is 500159515, license state is located at Wisconsin. Larsen Family Dental S.c. physically located at 215 N. Spring Street, Beaver Dam WI, 53916. NPI Number 1033115704 has the healthcare provider type.

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1245280742 NPI number is provided on an as is basis without warranty of any kind. 1245280742 is maintained by the National Plan & Provider Enumeration System. The contents of Larsen Family Dental S.c. are for informational purposes only.