Organization
WATERFORD FAMILY DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAN TRITTIN DDS (OWNER)
(262) 534-5303
Entity
Organization
Contact information
Practice address
107A W MAIN ST, WATERFORD, WI 53185-4129
(262) 534-5303
(262) 514-4388
Mailing address
107A W MAIN ST, WATERFORD, WI 53185-4129
(262) 534-5303
(262) 514-4388
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
3199-015
WI
Other
Enumeration date
02/20/2007
Last updated
04/22/2019
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