| Paczkowski Family Dental, S.c. | |
|
1614 Washington St Two Rivers WI 54241-3069 | |
| (920) 794-8911 | |
| Not Available |
| Full Name | Paczkowski Family Dental, S.c. |
|---|---|
| Speciality | Dentist |
| Location | 1614 Washington St, Two Rivers, Wisconsin |
| Authorized Official Name and Position | Gerald William Paczkowski (OWNER) |
| Authorized Official Contact | 9207948911 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Paczkowski Family Dental, S.c. 1614 Washington St Two Rivers WI 54241-3069 Ph: (920) 794-8911 | Paczkowski Family Dental, S.c. 1614 Washington St Two Rivers WI 54241-3069 Ph: (920) 794-8911 |
| NPI Number | 1962621243 |
|---|---|
| Provider Enumeration Date | 04/24/2007 |
| Last Update Date | 08/05/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962621243 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
Two Rivers Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1705 23rd St, Two Rivers, WI 54241 Phone: 920-794-7100 | |
Lifetime Family Dentistry Of Two Rivers Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1509 19th St, Two Rivers, WI 54241 Phone: 920-794-8947 Fax: 920-793-8463 |