| Owen Family Dental Llc | |
|
202 N Central Ave Owen WI 54460-9785 | |
| (715) 229-2299 | |
| Not Available |
| Full Name | Owen Family Dental Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 202 N Central Ave, Owen, Wisconsin |
| Authorized Official Name and Position | Daniel Nicholson (DENTIST AND LLC OWNER) |
| Authorized Official Contact | 7157215867 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Owen Family Dental Llc 202 N Central Ave Owen WI 54460-9785 Ph: () - | Owen Family Dental Llc 202 N Central Ave Owen WI 54460-9785 Ph: (715) 229-2299 |
| NPI Number | 1992376214 |
|---|---|
| Provider Enumeration Date | 07/07/2021 |
| Last Update Date | 07/07/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992376214 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Dr Tom Gelhaus Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 202 Central Ave, Owen, WI 54460 Phone: 715-229-2299 |