NPI | 1003796285 |
---|---|
Doing Business As | BEAVER DAM FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | NIDHI MAHAJAN General Dentist 920-887-1432 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2025-09-06 |
Last Update Date | 2025-10-01 |