| Family Dentistry | |
|
301 E 2nd St Merrill WI 54452-2317 | |
| (715) 539-3211 | |
| Not Available |
| Full Name | Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 301 E 2nd St, Merrill, Wisconsin |
| Authorized Official Name and Position | Dan W Rajek (DENTIST) |
| Authorized Official Contact | 7155362282 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Dentistry 301 E 2nd St Merrill WI 54452-2317 Ph: () - | Family Dentistry 301 E 2nd St Merrill WI 54452-2317 Ph: (715) 539-3211 |
| NPI Number | 1174726194 |
|---|---|
| Provider Enumeration Date | 06/07/2007 |
| Last Update Date | 06/19/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174726194 | NPI | - | NPPES |
| 1861438897 | Other | WI | NPI- TYPE 1 |
| 5002139 | Other | WI | LISCENSE NUMBER (WI) |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5002139 (Wisconsin) | Primary |
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Quirt Family Dentistry, Sc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2812 E Main St, Merrill, WI 54452 Phone: 715-536-9628 |