Whitewater Family Dentistry

NPI 1548429970 - Dentist - 1223G0001X

NPI Details
NPI 1548429970
Enumeration Date 06/02/2008
Last Updated 05/16/2016
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name GENIE GENIE
Position CONTACT OFFICER
Phone (262) 473-3700
Fax
Practice Location
1515 W MAIN ST
WHITEWATER WI, 53190-1957, US
Phone (262) 473-3700
Fax
Business Location
1515 W MAIN ST
WHITEWATER WI, 53190-1957, US
Phone
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State
License Number
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According to our database, Whitewater Family Dentistry NPI is 1548429970, taxonomy code is 1223G0001X Whitewater Family Dentistry physically located at 1515 W Main St, Whitewater WI, 53190-1957. NPI Number 1033115704 has the healthcare provider type.

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1548429970 NPI number is provided on an as is basis without warranty of any kind. 1548429970 is maintained by the National Plan & Provider Enumeration System. The contents of Whitewater Family Dentistry are for informational purposes only.