Northern Door Dental Sc

NPI 1013038207 - Dentist - 1223G0001X

NPI Details
NPI 1013038207
Enumeration Date 04/03/2007
Last Updated 07/30/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name THOMAS MALCOLM THOMAS
Position DENTIST PRACTICE PRESIDENT OWNER
Phone (920) 854-5200
Fax (920) 854-7601
Practice Location
10589 S HIGHLAND RD STE 4
SISTER BAY WI, 54234, US
Phone (920) 854-5200
Fax (920) 854-7601
Business Location
10589 S HIGHLAND RD STE 4
SISTER BAY WI, 54234, US
Phone (920) 854-5200
Fax (920) 854-7601
Toxanomy
Taxonomy Code 1223G0001X
License State Wisconsin
License Number 5002020015
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According to our database, Northern Door Dental Sc NPI is 1013038207, taxonomy code is 1223G0001X and license number is 5002020015, license state is located at Wisconsin. Northern Door Dental Sc physically located at 10589 S Highland Rd Ste 4, Sister Bay WI, 54234. NPI Number 1033115704 has the healthcare provider type.

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1013038207 NPI number is provided on an as is basis without warranty of any kind. 1013038207 is maintained by the National Plan & Provider Enumeration System. The contents of Northern Door Dental Sc are for informational purposes only.