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Organization
CAMPBELLSPORT FAMILY DENTISTRY, LLC
Active
Organization
CAMPBELLSPORT FAMILY DENTISTRY, LLC
Active
Other names
Campbellsport Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL STEVENS DDS (OWNER)
(608) 957-4663
Entity
Organization
Contact information
Practice address
130 N FOND DU LAC AVE, CAMPBELLSPORT, WI 53010-2787
(920) 533-8512
Mailing address
130 N FOND DU LAC AVE, CAMPBELLSPORT, WI 53010-2787
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/20/2024
Last updated
04/20/2024
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