| Pulaski Family Dental Care, S.c. | |
|
960 South Saint Augustine St. Pulaski WI 54162 | |
| (920) 822-8111 | |
| (920) 822-2198 |
| Full Name | Pulaski Family Dental Care, S.c. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 960 South Saint Augustine St., Pulaski, Wisconsin |
| Authorized Official Name and Position | Paul M Chrisman (PRESIDENT) |
| Authorized Official Contact | 9208228111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pulaski Family Dental Care, S.c. Po Box 739 Pulaski WI 54162-0739 Ph: (920) 822-8111 | Pulaski Family Dental Care, S.c. 960 South Saint Augustine St. Pulaski WI 54162 Ph: (920) 822-8111 |
| NPI Number | 1427195981 |
|---|---|
| Provider Enumeration Date | 01/31/2007 |
| Last Update Date | 02/18/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427195981 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 2317 (Wisconsin) | Primary |
Abh Dental Enterprises Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 985 Corporate Way, Pulaski, WI 54162 Phone: 920-822-8388 Fax: 920-822-1735 | |
Pulaski Sleep Llc Dental Clinic Medicare: Medicare Enrolled Practice Location: 985 Corporate Way, Pulaski, WI 54162 Phone: 920-822-8388 |