| Familia Dental | |
|
1260 Milton Ave Ste 140 Janesville WI 53545-1835 | |
| (608) 757-0057 | |
| (608) 743-9108 |
| Full Name | Familia Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1260 Milton Ave, Janesville, Wisconsin |
| Authorized Official Name and Position | Brandon Alexander Taylor (CREDENTIALING & PAYER RELATIONS MAN) |
| Authorized Official Contact | 8474537396 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Familia Dental 2050 East Algonquin Road Suite 610 Schaumburg IL 60173-4166 Ph: (847) 453-7396 | Familia Dental 1260 Milton Ave Ste 140 Janesville WI 53545-1835 Ph: (608) 757-0057 |
| NPI Number | 1437508405 |
|---|---|
| Provider Enumeration Date | 06/09/2016 |
| Last Update Date | 10/15/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437508405 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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