| Central Wisconsin Oral And Facial Surgery, Llc | |
|
438 Edison St Antigo WI 54409-1845 | |
| (715) 432-4565 | |
| Not Available |
| Full Name | Central Wisconsin Oral And Facial Surgery, Llc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 438 Edison St, Antigo, Wisconsin |
| Authorized Official Name and Position | Paulette Wright (MANAGER) |
| Authorized Official Contact | 8435250900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Wisconsin Oral And Facial Surgery, Llc 968 Ribaut Rd Ste 3 Beaufort SC 29902-8002 Ph: (843) 525-0900 | Central Wisconsin Oral And Facial Surgery, Llc 438 Edison St Antigo WI 54409-1845 Ph: (715) 432-4565 |
| NPI Number | 1477065787 |
|---|---|
| Provider Enumeration Date | 10/26/2017 |
| Last Update Date | 10/26/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477065787 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 5831-15 (Wisconsin) | Primary |
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› Verified 5 days ago
Complete Dental Center, S.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 408 State Highway 64, Antigo, WI 54409 Phone: 715-627-1000 Fax: 715-627-7123 | |
Antigo Dental Clinic L.l.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 707 6th Ave, Antigo, WI 54409 Phone: 715-627-4391 Fax: 715-627-4392 | |
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