Waite Family Dental, Llc

NPI 1528195377 - Dentist - 1223G0001X

NPI Details
NPI 1528195377
Enumeration Date 02/28/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name JAN M JAN
Position GENERAL DENTIST
Phone (608) 348-3031
Fax (608) 348-9739
Practice Location
580 KASE ST
PLATTEVILLE WI, 53818-1814, US
Phone (608) 348-3031
Fax (608) 348-9739
Business Location
580 KASE ST
P.O. BOX 255
PLATTEVILLE WI, 53818-1814, US
Phone (608) 348-3031
Fax (608) 348-9739
Toxanomy
Taxonomy Code 1223G0001X
License State Wisconsin
License Number 4104
Remove 1528195377 NPI Number
 

According to our database, Waite Family Dental, Llc NPI is 1528195377, taxonomy code is 1223G0001X and license number is 4104, license state is located at Wisconsin. Waite Family Dental, Llc physically located at 580 Kase St, Platteville WI, 53818-1814. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1528195377 NPI number is provided on an as is basis without warranty of any kind. 1528195377 is maintained by the National Plan & Provider Enumeration System. The contents of Waite Family Dental, Llc are for informational purposes only.