MDC WEST BEND, LLC

WEST BEND, WI
NPI1497294722
Entity TypeOrganization
Authorized ContactBERNARD BOLKA
Member
920-579-3188
Organization Subpart ?Yes
Primary Taxonomy122300000X Dentist
(Licence: WI  5479015)
Enumeration Date2017-02-20
Last Update Date2017-02-20
Business Address
MDC WEST BEND, LLC
1625 W PARADISE DR
WEST BEND, WI 53095-7846
Phone number: 262-338-2992
Mailing Address
MDC WEST BEND, LLC
7 SHEBOYGAN ST
FOND DU LAC, WI 54935-4281
Phone number: 920-579-3188
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