| Medford Dental Clinic Sc | |
|
309 E Broadway Medford WI 54451 | |
| (715) 748-4111 | |
| (715) 748-4896 |
| Full Name | Medford Dental Clinic Sc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 309 E Broadway, Medford, Wisconsin |
| Authorized Official Name and Position | Betty J Miskulin (SECRETARY) |
| Authorized Official Contact | 7156782215 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medford Dental Clinic Sc 309 E Broadway Po Box 504 Medford WI 54451 Ph: (715) 748-4111 | Medford Dental Clinic Sc 309 E Broadway Medford WI 54451 Ph: (715) 748-4111 |
| NPI Number | 1548325699 |
|---|---|
| Provider Enumeration Date | 12/27/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548325699 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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