DAVID CHARLES UTRIE

BEAVER DAM, WI
NPI1629095278
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: WI  5002046)
Enumeration Date2006-07-17
Last Update Date2007-07-09
Business Address
DR. DAVID CHARLES UTRIE D.D.S.
105 N LINCOLN AVE
BEAVER DAM, WI 53916-2140
Phone number: 920-887-2427
Mailing Address
DR. DAVID CHARLES UTRIE D.D.S.
105 N LINCOLN AVE
BEAVER DAM, WI 53916-2140
Phone number: 920-887-2427
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