| Douglas D Podoll Dds Dc | |
|
404 Wisconsin Ave Amery WI 54001 | |
| (715) 268-8109 | |
| (715) 268-4620 |
| Full Name | Douglas D Podoll Dds Dc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 404 Wisconsin Ave, Amery, Wisconsin |
| Authorized Official Name and Position | Douglas D Podoll (PRESIDENT) |
| Authorized Official Contact | 7152688109 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Douglas D Podoll Dds Dc 404 Wisconsin Ave Amery WI 54001 Ph: (715) 268-8109 | Douglas D Podoll Dds Dc 404 Wisconsin Ave Amery WI 54001 Ph: (715) 268-8109 |
| NPI Number | 1568566057 |
|---|---|
| Provider Enumeration Date | 09/12/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568566057 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 3237 (Wisconsin) | Primary |
Kristo Orthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 404 Wisconsin Ave, Amery, WI 54001 Phone: 715-268-8109 | |
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Dental Arts S.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 404 Wisconsin Ave, Amery, WI 54001 Phone: 715-268-7177 Fax: 715-268-5716 | |
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