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Organization
RAUCH FANILY DENTISTRY, LLC
Active
Organization
RAUCH FANILY DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER J RAUCH DDS (OWNER)
(920) 748-3633
Entity
Organization
Contact information
Practice address
929 S GROVE ST, RIPON, WI 54971-1828
(920) 748-3633
Mailing address
929 S GROVE ST, RIPON, WI 54971-1828
(920) 748-3633
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/03/2016
Last updated
03/03/2016
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