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1982271763
FOND DU LAC FAMILY DENTISTRY, LLC
FOND DU LAC, WI
NPI
1982271763
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Entity Type
Organization
Authorized Contact
DANIEL STEVENS
Owner/Dentist
920-922-9000
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2021-06-09
Last Update Date
2021-06-09
Business Address
FOND DU LAC FAMILY DENTISTRY, LLC
145 S MARR ST STE 1
FOND DU LAC, WI 54935-4419
Phone number: 920-922-9000
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Mailing Address
FOND DU LAC FAMILY DENTISTRY, LLC
145 S MARR ST STE 1
FOND DU LAC, WI 54935-4419
Phone number: 920-922-9000
Copy
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