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Organization
WAUPACA FAMILY DENTAL
Active
Organization
WAUPACA FAMILY DENTAL
Active
Other names
Waupaca Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
KAYLA THORPE (OFFICE MANAGER)
(920) 982-3567
Entity
Organization
Contact information
Practice address
400 SCHOOL ST, WAUPACA, WI 54981-1626
(715) 258-8200
Mailing address
400 SCHOOL ST, WAUPACA, WI 54981-1626
(715) 258-8200
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/04/2020
Last updated
03/04/2020
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