| Waushara Dental Associate Sc | |
|
322 Broadway Berlin WI 54923 | |
| (920) 361-3800 | |
| Not Available |
| Full Name | Waushara Dental Associate Sc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 322 Broadway, Berlin, Wisconsin |
| Authorized Official Name and Position | Darren Stelter (PRESIDENT) |
| Authorized Official Contact | 9203613800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Waushara Dental Associate Sc 322 Broadway Berlin WI 54923 Ph: () - | Waushara Dental Associate Sc 322 Broadway Berlin WI 54923 Ph: (920) 361-3800 |
| NPI Number | 1760887392 |
|---|---|
| Provider Enumeration Date | 10/24/2014 |
| Last Update Date | 10/24/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760887392 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Fox River Dental Associates Sc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 Commercial St, Berlin, WI 54923 Phone: 920-361-3080 Fax: 920-361-3083 |