| Tannleger As Oral And Maxillofacial Surgery Sc | |
|
2359 Murphy Woods Rd Beloit WI 53511-2343 | |
| (608) 362-9391 | |
| (608) 362-8020 |
| Full Name | Tannleger As Oral And Maxillofacial Surgery Sc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Pathology |
| Location | 2359 Murphy Woods Rd, Beloit, Wisconsin |
| Authorized Official Name and Position | Ronald L Guttu (OWNER) |
| Authorized Official Contact | 6083629391 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tannleger As Oral And Maxillofacial Surgery Sc 2359 Murphy Woods Rd Beloit WI 53511-2343 Ph: (608) 362-9391 | Tannleger As Oral And Maxillofacial Surgery Sc 2359 Murphy Woods Rd Beloit WI 53511-2343 Ph: (608) 362-9391 |
| NPI Number | 1942523436 |
|---|---|
| Provider Enumeration Date | 03/11/2010 |
| Last Update Date | 03/11/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942523436 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0106X | Dentist - Oral And Maxillofacial Pathology | (* (Not Available)) | Primary |
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