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Organization
GARY KAEFER FAMILY DENTISTY DDS SC
Active
Organization
GARY KAEFER FAMILY DENTISTY DDS SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY L KAEFER DDS (OWNER- DENTIST)
(715) 866-4204
Entity
Organization
Contact information
Practice address
7425 MAIN ST W, WEBSTER, WI 54893-8207
(715) 866-4204
(715) 866-4205
Mailing address
7425 MAIN ST W, PO BOX 4, WEBSTER, WI 54893-8207
(715) 866-4204
(715) 866-4205
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
5001913
WI
Other
Enumeration date
08/10/2007
Last updated
08/10/2007
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