Delavan Family Dental
Dentist, General Practice in Delavan, WI. Organization (NPI-2).
NPI number1922490655
StatusActive
Last updated in NPPESMar 4, 2015
Details
- NPI
- 1922490655
- Entity type
- Organization (NPI-2)
- Legal business name
- Delavan Family Dental
- Organization subpart
- No
- Enumeration date
- Mar 4, 2015
- Last updated
- Mar 4, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Practice location
614 E Walworth AveDelavan, WI 53115-1249
Phone 262-728-9117
Mailing address
614 E Walworth AveDelavan, WI 53115-1249
Authorized official
Genie Kuble
Contact Officer
9204500157
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Other General Practice Dentistry providers in Delavan, WI
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All 10 General Practice Dentistry providers in Delavan · All 188 providers in Delavan
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