Organization
SEUBERT FAMILY DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAN LLOYD SEUBERT DDS (DR./DENTIST)
(608) 742-2331
Entity
Organization
Contact information
Practice address
260 W. COOK ST., PORTAGE, WI 53901-2106
(608) 742-2331
(608) 742-4308
Mailing address
260 W. COOK ST., PORTAGE, WI 53901-2106
(608) 742-2331
(608) 742-4308
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3967
WI
Other
Enumeration date
11/17/2014
Last updated
11/18/2014
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