Organization
GENERAL DENTISTRY OF SEYMOUR INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD JOSEPH HOFF JR. DDS (OWNER PRESIDENT)
(920) 833-2215
Entity
Organization
Contact information
Practice address
344 STATE HWY 54, STE 1, SEYMOUR, WI 54165
(920) 833-2215
Mailing address
344 STATE HIGHWAY 54, STE 1, SEYMOUR, WI 54165
(920) 833-2215
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
W2493
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33409400
—
WI
Enumeration date
09/14/2006
Last updated
08/22/2020
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