| Juntunen Dental Llc | |
|
115 S 8th St Depere WI 54115-1399 | |
| (920) 336-9002 | |
| (920) 336-8304 |
| Full Name | Juntunen Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 115 S 8th St, Depere, Wisconsin |
| Authorized Official Name and Position | Peter Jason Juntunen (DOCTOR DENTIST) |
| Authorized Official Contact | 9203369002 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Juntunen Dental Llc 115 S 8th St Depere WI 54115-1399 Ph: (920) 336-9002 | Juntunen Dental Llc 115 S 8th St Depere WI 54115-1399 Ph: (920) 336-9002 |
| NPI Number | 1821173006 |
|---|---|
| Provider Enumeration Date | 10/26/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821173006 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |