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Organization

MDC OMRO, S.C.

Active
Other names
Dowling Dental Clinic of Omro
Organization subpart
No

Provider details

NPI number
Authorized official
DR. WILLIAM MAUTHE III D.D.S. (OWNER)
(920) 948-6407
Entity
Organization

Contact information

Practice address
1771 E MAIN ST, OMRO, WI 54963-1594
(920) 685-2121
Mailing address
101 CAMELOT DR, STE 3, FOND DU LAC, WI 54935-8048
(920) 579-3188

Taxonomy

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

Other

Enumeration date
03/19/2013
Last updated
03/19/2013
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