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Organization

MDC RIPON SC

Active
Other names
Ripon Family Dentistry
Organization subpart
No

Provider details

NPI number
Authorized official
DR. WILLIAM C MAUTHE III D.D.S. (OWNER)
(920) 921-1244
Entity
Organization

Contact information

Practice address
106 WATSON ST, RIPON, WI 54971-1327
(920) 748-7731
Mailing address
54 E 1ST ST, FOND DU LAC, WI 54935-4204
(920) 602-0007

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6833
WI

Other

Enumeration date
07/30/2014
Last updated
07/30/2014
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