| John L. Sadowski D.d.s., S.c. | |
|
201 E Waldo Blvd Manitowoc WI 54220-2908 | |
| (920) 682-0115 | |
| Not Available |
| Full Name | John L. Sadowski D.d.s., S.c. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 201 E Waldo Blvd, Manitowoc, Wisconsin |
| Authorized Official Name and Position | John Leon Sadowski (DENTIST/OWNER) |
| Authorized Official Contact | 9206820115 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John L. Sadowski D.d.s., S.c. 201 E Waldo Blvd Manitowoc WI 54220-2908 Ph: (920) 682-0115 | John L. Sadowski D.d.s., S.c. 201 E Waldo Blvd Manitowoc WI 54220-2908 Ph: (920) 682-0115 |
| NPI Number | 1205094836 |
|---|---|
| Provider Enumeration Date | 05/30/2008 |
| Last Update Date | 03/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205094836 | NPI | - | NPPES |
| 0584G | Other | WI | STATE LICENSE NUMBER |
| 063681003 | Other | WI | WDA NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 0548G (Wisconsin) | Primary |
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