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Organization

WINDSOR FAMILY DENTAL, S.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WILLIAM J ENDICOTT D.D.S. (OWNER)
(608) 846-5407
Entity
Organization

Contact information

Practice address
6729 LAKE ROAD, WINDSOR, WI 53598-0000
(608) 846-5407
(608) 846-2493
Mailing address
6729 LAKE ROAD, PO BOX 287, WINDSOR, WI 53598-0000
(608) 846-5407
(608) 846-2493

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
05/17/2007
Last updated
11/10/2014
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