| Zander Dental Sc | |
|
152 Woodlawn Dr Shawano WI 54166-2200 | |
| (715) 526-3314 | |
| (715) 524-9893 |
| Full Name | Zander Dental Sc |
|---|---|
| Speciality | Dentist |
| Location | 152 Woodlawn Dr, Shawano, Wisconsin |
| Authorized Official Name and Position | Jeffrey L Zander (DENTIST) |
| Authorized Official Contact | 7155263314 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Zander Dental Sc 152 Woodlawn Dr Shawano WI 54166-2200 Ph: (715) 526-3314 | Zander Dental Sc 152 Woodlawn Dr Shawano WI 54166-2200 Ph: (715) 526-3314 |
| NPI Number | 1073598165 |
|---|---|
| Provider Enumeration Date | 12/12/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073598165 | NPI | - | NPPES |
| 33386000 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2262015 (Wisconsin) | Primary |
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