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Organization
ALGOMA FAMA DENTAL LLC
Active
Organization
ALGOMA FAMA DENTAL LLC
Active
Other names
Algoma Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL FAMA DDS (OWNER/DENTIST)
(585) 705-5750
Entity
Organization
Contact information
Practice address
1421 LAKE ST, ALGOMA, WI 54201-1449
(920) 487-2733
Mailing address
1421 LAKE ST, ALGOMA, WI 54201-1449
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/19/2024
Last updated
08/19/2024
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