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1902912165
201 WATER FRONT DENTAL LLC
FORT ATKINSON, WI
NPI
1902912165
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Entity Type
Organization
Authorized Contact
MICHAEL A BENDER
1st Vice President
920-563-7323
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
Enumeration Date
2006-08-21
Last Update Date
2024-11-27
Business Address
201 WATER FRONT DENTAL LLC
201 SHERMAN AVE. W.
FORT ATKINSON, WI 53538
Phone number: 920-563-7323
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Mailing Address
201 WATER FRONT DENTAL LLC
201 SHERMAN AVE. W.
FORT ATKINSON, WI 53538
Phone number: 920-563-7323
Copy
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