Organization
VILLAGE FAMILY DENTAL ASSCOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL F PEEPLES DDS (PRESIDENT OF CORPORATION)
(608) 643-8505
Entity
Organization
Contact information
Practice address
1209 MILLS ST, BLACK EARTH, WI 53515-9420
(608) 767-3604
(608) 767-3606
Mailing address
1209 MILLS ST, BLACK EARTH, WI 53515-9420
(608) 767-3604
(608) 767-3606
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/23/2005
Last updated
08/22/2020
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