Organization
NADING PERIODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS HENRY NADING DDS (PERIODONTIST OWNER)
(262) 248-8505
Entity
Organization
Contact information
Practice address
255 HAVENWOOD DR, LAKE GENEVA, WI 53147
(262) 248-8505
(262) 248-3639
Mailing address
255 HAVENWOOD DR, LAKE GENEVA, WI 53147
(262) 248-8505
(262) 248-3639
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
129015
WI
Other
Enumeration date
11/01/2006
Last updated
08/22/2020
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