Organization
JOHN L. SADOWSKI D.D.S., S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN LEON SADOWSKI DDS (DENTIST/OWNER)
(920) 682-0115
Entity
Organization
Contact information
Practice address
201 E WALDO BLVD, MANITOWOC, WI 54220-2908
(920) 682-0115
Mailing address
201 E WALDO BLVD, MANITOWOC, WI 54220-2908
(920) 682-0115
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
0548G
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0584G
STATE LICENSE NUMBER
WI
01
—
063681003
WDA NUMBER
WI
Enumeration date
05/30/2008
Last updated
03/07/2023
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