DENTAL PARK SC

MANITOWOC, WI
NPI1386636959
Entity TypeOrganization
Authorized ContactDANIEL ROBERT BOETTCHER
Partner Secretary
920-682-0321
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
Enumeration Date2005-08-18
Last Update Date2022-07-21
Business Address
DENTAL PARK SC
1503 RANDOLPH CT
MANITOWOC, WI 54220-8345
Phone number: 920-682-0321
Mailing Address
DENTAL PARK SC
1503 RANDOLPH CT
MANITOWOC, WI 54220-8345
Phone number: 920-682-0321