| E A Darkow Dds Sc | |
|
114 Haylett Street Neenah WI 54956 | |
| (920) 725-1111 | |
| (920) 725-1932 |
| Full Name | E A Darkow Dds Sc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 114 Haylett Street, Neenah, Wisconsin |
| Authorized Official Name and Position | Eugene A Darkow (OWNER) |
| Authorized Official Contact | 9207251111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| E A Darkow Dds Sc 114 Haylett Street Neenah WI 54956 Ph: (920) 725-1111 | E A Darkow Dds Sc 114 Haylett Street Neenah WI 54956 Ph: (920) 725-1111 |
| NPI Number | 1861686958 |
|---|---|
| Provider Enumeration Date | 08/31/2007 |
| Last Update Date | 10/18/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861686958 | NPI | - | NPPES |
| 33469800 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3205 (Wisconsin) | Primary |
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