201 WATER FRONT DENTAL LLC

FORT ATKINSON, WI
NPI1902912165
Entity TypeOrganization
Authorized ContactMICHAEL A BENDER
1st Vice President
920-563-7323
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
Enumeration Date2006-08-21
Last Update Date2024-11-27
Business Address
201 WATER FRONT DENTAL LLC
201 SHERMAN AVE. W.
FORT ATKINSON, WI 53538
Phone number: 920-563-7323
Mailing Address
201 WATER FRONT DENTAL LLC
201 SHERMAN AVE. W.
FORT ATKINSON, WI 53538
Phone number: 920-563-7323