Organization
ALGOMA FAMA DENTAL LLC
Active
Other names
Algoma Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL FAMA DDS (OWNER/DENTIST)
(585) 705-5750
Entity
Organization
Contact information
Practice address
1421 LAKE ST, ALGOMA, WI 54201-1449
(920) 487-2733
Mailing address
1421 LAKE ST, ALGOMA, WI 54201-1449
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/19/2024
Last updated
08/19/2024
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