| Mdc Omro, S.c. | |
|
1771 E Main St Omro WI 54963-1594 | |
| (920) 685-2121 | |
| Not Available |
| Full Name | Mdc Omro, S.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1771 E Main St, Omro, Wisconsin |
| Authorized Official Name and Position | William Mauthe (OWNER) |
| Authorized Official Contact | 9209486407 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mdc Omro, S.c. 101 Camelot Dr Ste 3 Fond Du Lac WI 54935-8048 Ph: (920) 579-3188 | Mdc Omro, S.c. 1771 E Main St Omro WI 54963-1594 Ph: (920) 685-2121 |
| NPI Number | 1285976167 |
|---|---|
| Provider Enumeration Date | 03/19/2013 |
| Last Update Date | 03/19/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285976167 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Dowling Dental Clinic Of Omro, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1771 E Main St, Omro, WI 54963 Phone: 920-685-2121 Fax: 920-685-0467 |