Cuba City Family Dental Llc | |
206 S Jackson St Cuba City WI 53807-1147 | |
(608) 744-2111 | |
(608) 744-2112 |
Full Name | Cuba City Family Dental Llc |
---|---|
Speciality | Clinic/center - Dental |
Location | 206 S Jackson St, Cuba City, Wisconsin |
Authorized Official Name and Position | Matthew Andrews (SOLE OWNER) |
Authorized Official Contact | 6087442111 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Cuba City Family Dental Llc 206 S Jackson St Cuba City WI 53807-1147 Ph: (608) 744-2111 | Cuba City Family Dental Llc 206 S Jackson St Cuba City WI 53807-1147 Ph: (608) 744-2111 |
NPI Number | 1891575882 |
---|---|
Provider Enumeration Date | 10/05/2023 |
Last Update Date | 10/05/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891575882 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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