Organization
PODOLL DENTAL, LLC
Active
Other names
Fort Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SARA PODOLL DDS (DENTIST)
(920) 563-4322
Entity
Organization
Contact information
Practice address
715 SHERMAN AVE E, FORT ATKINSON, WI 53538-1992
(763) 360-0841
Mailing address
715 SHERMAN AVE E, FORT ATKINSON, WI 53538-1992
(920) 563-4322
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/29/2017
Last updated
07/21/2022
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