| Two Rivers Dental Llc | |
|
1705 23rd St Two Rivers WI 54241-2248 | |
| (920) 794-7100 | |
| Not Available |
| Full Name | Two Rivers Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1705 23rd St, Two Rivers, Wisconsin |
| Authorized Official Name and Position | Jamie Lee Meunier (OWNER) |
| Authorized Official Contact | 9209012698 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Two Rivers Dental Llc 1705 23rd St Two Rivers WI 54241-2248 Ph: (920) 794-7100 | Two Rivers Dental Llc 1705 23rd St Two Rivers WI 54241-2248 Ph: (920) 794-7100 |
| NPI Number | 1952035321 |
|---|---|
| Provider Enumeration Date | 07/12/2022 |
| Last Update Date | 07/12/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952035321 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Paczkowski Family Dental, S.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1614 Washington St, Two Rivers, WI 54241 Phone: 920-794-8911 | |
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 |