Modern Dental Center Llc | |
101 Camelot Dr Ste 3 Fond Du Lac WI 54935-8048 | |
(920) 921-1244 | |
Not Available |
Full Name | Modern Dental Center Llc |
---|---|
Speciality | Dentist |
Location | 101 Camelot Dr Ste 3, Fond Du Lac, Wisconsin |
Authorized Official Name and Position | Michael Cole (VP INSURANCE PLAN MANAGEMENT) |
Authorized Official Contact | 7274242990 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Modern Dental Center Llc 101 Camelot Dr Ste 3 Fond Du Lac WI 54935-8048 Ph: (920) 921-1244 | Modern Dental Center Llc 101 Camelot Dr Ste 3 Fond Du Lac WI 54935-8048 Ph: (920) 921-1244 |
NPI Number | 1689320897 |
---|---|
Provider Enumeration Date | 02/25/2022 |
Last Update Date | 02/25/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689320897 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
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