Organization
FITCHBURG DENTAL CLINIC, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL JOSEPH REESE D.D.S. (PRESIDENT)
(608) 274-6232
Entity
Organization
Contact information
Practice address
3070 FISH HATCHERY RD, FITCHBURG, WI 53713-3187
(608) 274-6232
(608) 274-9444
Mailing address
3070 FISH HATCHERY RD, FITCHBURG, WI 53713-3187
(608) 274-6232
(608) 274-9444
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5001328-015
WI
Other
Enumeration date
12/30/2006
Last updated
08/22/2020
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