The Grove Family Dental And Tmj Clinic, Llc

NPI 1295933430 - Dentist - 122300000X

NPI Details
NPI 1295933430
Enumeration Date 07/10/2007
Last Updated 07/10/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name JOHN CHARLES JOHN
Position MEMBER
Phone (608) 882-4441
Fax
Practice Location
109 S MADISON ST
EVANSVILLE WI, 53536-1319, US
Phone (608) 882-4441
Fax
Business Location
109 S MADISON ST
EVANSVILLE WI, 53536-1319, US
Phone (608) 882-4441
Fax
Toxanomy
Taxonomy Code 122300000X
License State Wisconsin
License Number 4078
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According to our database, The Grove Family Dental And Tmj Clinic, Llc NPI is 1295933430, taxonomy code is 122300000X and license number is 4078, license state is located at Wisconsin. The Grove Family Dental And Tmj Clinic, Llc physically located at 109 S Madison St, Evansville WI, 53536-1319. NPI Number 1033115704 has the healthcare provider type.

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1295933430 NPI number is provided on an as is basis without warranty of any kind. 1295933430 is maintained by the National Plan & Provider Enumeration System. The contents of The Grove Family Dental And Tmj Clinic, Llc are for informational purposes only.