WISCONSIN DENTAL GROUP, S.C.

OCONOMOWOC, WI
NPI1013665561
Entity TypeOrganization
Authorized ContactCELIA HAYES
Credentialing COO Rdinator
217-540-2100
Organization Subpart ?Yes
Primary Taxonomy1223G0001X Dentist General Practice
Enumeration Date2022-03-14
Last Update Date2022-03-14
Business Address
WISCONSIN DENTAL GROUP, S.C.
1320 PABST FARMS CIR UNIT 190
OCONOMOWOC, WI 53066-4877
Phone number: 262-244-0288
Mailing Address
WISCONSIN DENTAL GROUP, S.C.
1320 PABST FARMS CIR UNIT 190
OCONOMOWOC, WI 53066-4877
Phone number: 262-244-0288
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