| Roland W Pardun Dds Sc | |
|
241 N Main St Cochrane WI 54622 | |
| (608) 248-2442 | |
| (608) 248-3132 |
| Full Name | Roland W Pardun Dds Sc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 241 N Main St, Cochrane, Wisconsin |
| Authorized Official Name and Position | Roland W Pardun (PRESIDENT) |
| Authorized Official Contact | 6082482442 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roland W Pardun Dds Sc Po Box 36 Cochrane WI 54622-0036 Ph: (608) 248-2442 | Roland W Pardun Dds Sc 241 N Main St Cochrane WI 54622 Ph: (608) 248-2442 |
| NPI Number | 1740356229 |
|---|---|
| Provider Enumeration Date | 11/28/2006 |
| Last Update Date | 06/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740356229 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Mork Dental, Sc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 241 N. Main St., Cochrane, WI 54622 Phone: 608-248-2442 Fax: 608-248-3132 |