Organization
PULASKI FAMILY DENTAL CARE, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL M CHRISMAN (PRESIDENT)
(920) 822-8111
Entity
Organization
Contact information
Practice address
960 SOUTH SAINT AUGUSTINE ST., PULASKI, WI 54162
(920) 822-8111
(920) 822-2198
Mailing address
PO BOX 739, PULASKI, WI 54162-0739
(920) 822-8111
(920) 822-2198
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
2317
WI
Other
Enumeration date
01/31/2007
Last updated
02/18/2013
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