| Podoll Dental, Llc | |
|
715 Sherman Ave E Fort Atkinson WI 53538-1992 | |
| (763) 360-0841 | |
| Not Available |
| Full Name | Podoll Dental, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 715 Sherman Ave E, Fort Atkinson, Wisconsin |
| Authorized Official Name and Position | Sara Podoll (DENTIST) |
| Authorized Official Contact | 9205634322 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Podoll Dental, Llc 715 Sherman Ave E Fort Atkinson WI 53538-1992 Ph: (920) 563-4322 | Podoll Dental, Llc 715 Sherman Ave E Fort Atkinson WI 53538-1992 Ph: (763) 360-0841 |
| NPI Number | 1386161420 |
|---|---|
| Provider Enumeration Date | 08/29/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386161420 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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