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Organization

FAMILY DENTISTRY

Active
Parent organization
DAN W. RAJEK, DDS, SC
Organization subpart
Yes

Provider details

NPI number
Legal business name
DAN W. RAJEK, DDS, SC
Authorized official
DAN W RAJEK D.D.S. (DENTIST)
(715) 536-2282
Entity
Organization

Contact information

Practice address
301 E 2ND ST, MERRILL, WI 54452-2317
(715) 539-3211
Mailing address
301 E 2ND ST, MERRILL, WI 54452-2317

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5002139
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1861438897
NPI- TYPE 1
WI
01
5002139
LISCENSE NUMBER (WI)
WI
Enumeration date
06/07/2007
Last updated
06/19/2008
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