| Allison-zak Llc | |
|
1415 N 8th St Manitowoc WI 54220-2051 | |
| (920) 684-0123 | |
| (920) 682-7374 |
| Full Name | Allison-zak Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1415 N 8th St, Manitowoc, Wisconsin |
| Authorized Official Name and Position | Cheri L Ertman (PRACTICE MANAGER) |
| Authorized Official Contact | 9206840123 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Allison-zak Llc 1415 N 8th St Manitowoc WI 54220-2051 Ph: (920) 684-0123 | Allison-zak Llc 1415 N 8th St Manitowoc WI 54220-2051 Ph: (920) 684-0123 |
| NPI Number | 1386842847 |
|---|---|
| Provider Enumeration Date | 07/06/2007 |
| Last Update Date | 12/31/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386842847 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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