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Organization

WINNECONNE FAMILY DENTISTRY ACQUISITION LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JULIE VANDEHEY (DENTIST)
(920) 229-7092
Entity
Organization

Contact information

Practice address
902 E MAIN ST, WINNECONNE, WI 54986-9782
(920) 705-1123
Mailing address
PO BOX 520, WINNECONNE, WI 54986-0520

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
03/06/2023
Last updated
03/06/2023
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