| NPI | 1184987489 |
|---|---|
| Doing Business As | ADVANCED CARE DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | REBECCA L BERGENE Chief Operating Officer 920-860-9252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2012-06-21 |
| Last Update Date | 2012-07-12 |