NPI | 1134600448 |
---|---|
Doing Business As | KAUKAUNA FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | CURTIS R. HEBDON Practice Owner 920-766-9542 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: WI 1001802-15) |
Enumeration Date | 2018-08-24 |
Last Update Date | 2018-08-24 |