| Clintonville Family Dentistry | |
|
112 S Main St Clintonville WI 54929-1631 | |
| (715) 823-2233 | |
| (715) 823-5720 |
| Full Name | Clintonville Family Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 112 S Main St, Clintonville, Wisconsin |
| Authorized Official Name and Position | John Dewolf (PRESIDENT) |
| Authorized Official Contact | 7158232233 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clintonville Family Dentistry 112 S Main St Clintonville WI 54929-1631 Ph: (715) 823-2233 | Clintonville Family Dentistry 112 S Main St Clintonville WI 54929-1631 Ph: (715) 823-2233 |
| NPI Number | 1699899336 |
|---|---|
| Provider Enumeration Date | 03/19/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699899336 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2919 (Wisconsin) | Primary |
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