| 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 |