| Marathon Family Dentistry, Llc | |
|
981 Blue Stone Ln Marathon WI 54448-6800 | |
| (715) 443-2200 | |
| Not Available |
| Full Name | Marathon Family Dentistry, Llc |
|---|---|
| Speciality | Dentist |
| Location | 981 Blue Stone Ln, Marathon, Wisconsin |
| Authorized Official Name and Position | Olga Grenova (DIRECTOR OF ACCOUNTING) |
| Authorized Official Contact | 6088332213 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marathon Family Dentistry, Llc 981 Blue Stone Ln Marathon WI 54448-6800 Ph: (715) 443-2200 | Marathon Family Dentistry, Llc 981 Blue Stone Ln Marathon WI 54448-6800 Ph: (715) 443-2200 |
| NPI Number | 1073026936 |
|---|---|
| Provider Enumeration Date | 11/14/2017 |
| Last Update Date | 11/14/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073026936 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |