Organization
CAMPBELLSPORT FAMILY DENTISTRY, LLC
Active
Other names
Campbellsport Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL STEVENS DDS (OWNER)
(608) 957-4663
Entity
Organization
Contact information
Practice address
130 N FOND DU LAC AVE, CAMPBELLSPORT, WI 53010-2787
(920) 533-8512
Mailing address
130 N FOND DU LAC AVE, CAMPBELLSPORT, WI 53010-2787
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/20/2024
Last updated
04/20/2024
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