| Cuba City Family Dental Llc | |
|
206 S Jackson St Cuba City WI 53807-1147 | |
| (608) 744-2111 | |
| (608) 744-2112 |
| Full Name | Cuba City Family Dental Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 206 S Jackson St, Cuba City, Wisconsin |
| Authorized Official Name and Position | Matthew Andrews (SOLE OWNER) |
| Authorized Official Contact | 6087442111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cuba City Family Dental Llc 206 S Jackson St Cuba City WI 53807-1147 Ph: (608) 744-2111 | Cuba City Family Dental Llc 206 S Jackson St Cuba City WI 53807-1147 Ph: (608) 744-2111 |
| NPI Number | 1891575882 |
|---|---|
| Provider Enumeration Date | 10/05/2023 |
| Last Update Date | 10/05/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891575882 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |