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Organization

KAUKAUNA FAMILY DENTISTRY, S.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. WILLIAM J. FARROW D.D.S. (OWNER/PRESIDENT)
(920) 766-9542
Entity
Organization

Contact information

Practice address
233 DODGE ST, KAUKAUNA, WI 54130-2500
(920) 766-9542
(920) 759-4439
Mailing address
233 DODGE ST, KAUKAUNA, WI 54130-2500
(920) 766-9542
(920) 759-4439

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5001987-015
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
38377600
WI
Enumeration date
09/27/2006
Last updated
06/21/2018
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