Organization
HAYWARD FAMILY DENTISTRY SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK T DUFFY DDS (OWNER)
(715) 634-2011
Entity
Organization
Contact information
Practice address
10541 N RANCH RD, HAYWARD, WI 54843
(715) 634-2011
(715) 634-1352
Mailing address
PO BOX 1220, HAYWARD, WI 54843
(715) 634-2011
(715) 634-1352
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3762
WI
Other
Enumeration date
09/01/2006
Last updated
11/16/2007
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