| Associated Periodontics | |
|
525 E Division St Fond Du Lac WI 54935-3747 | |
| (920) 922-7700 | |
| Not Available |
| Full Name | Associated Periodontics |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 525 E Division St, Fond Du Lac, Wisconsin |
| Authorized Official Name and Position | Paul Svoboda (OWNER) |
| Authorized Official Contact | 9209227700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Associated Periodontics 525 E Division St Fond Du Lac WI 54935-3747 Ph: (920) 922-7700 | Associated Periodontics 525 E Division St Fond Du Lac WI 54935-3747 Ph: (920) 922-7700 |
| NPI Number | 1699151324 |
|---|---|
| Provider Enumeration Date | 08/04/2015 |
| Last Update Date | 08/04/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699151324 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 2302-015 (Wisconsin) | Primary |
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