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Organization
PODOLL DENTAL, LLC
Active
Organization
PODOLL DENTAL, LLC
Active
Other names
Fort Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SARA PODOLL DDS (DENTIST)
(920) 563-4322
Entity
Organization
Contact information
Practice address
715 SHERMAN AVE E, FORT ATKINSON, WI 53538-1992
(763) 360-0841
Mailing address
715 SHERMAN AVE E, FORT ATKINSON, WI 53538-1992
(920) 563-4322
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/29/2017
Last updated
07/21/2022
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