| Dhcsc | |
|
202 W Prospect St Thorp WI 54771-9303 | |
| (715) 669-5620 | |
| Not Available |
| Full Name | Dhcsc |
|---|---|
| Speciality | Dentist |
| Location | 202 W Prospect St, Thorp, Wisconsin |
| Authorized Official Name and Position | John Tessendorf (OWNER) |
| Authorized Official Contact | 7158323100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dhcsc Po Box 305 Thorp WI 54771-0305 Ph: () - | Dhcsc 202 W Prospect St Thorp WI 54771-9303 Ph: (715) 669-5620 |
| NPI Number | 1336581875 |
|---|---|
| Provider Enumeration Date | 07/25/2013 |
| Last Update Date | 07/25/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336581875 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
Mennonite Dental Clinic Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: W8180 County Road X, Thorp, WI 54771 Phone: 715-669-3790 |