Organization
KIM A GOWEY DDS LTD
Active
Other names
Implant Dentistry of Wisconsin
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIM A GOWEY DDS (PRESIDENT)
(715) 748-4432
Entity
Organization
Contact information
Practice address
1034 W BROADWAY AVE, MEDFORD, WI 54451-1310
(715) 748-4432
Mailing address
PO BOX 389, MEDFORD, WI 54451-0389
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5001790015
WI
Other
Enumeration date
03/20/2007
Last updated
08/22/2020
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