Organization
WESTON FAMILY DENTAL SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HERBERT NICHOLAS BRETL D.D.S. (OWNER)
(715) 432-0583
Entity
Organization
Contact information
Practice address
8055 MEADOW ROCK DR, WESTON, WI 54476-5241
(715) 241-6800
Mailing address
3109 SHOREY AVE, WESTON, WI 54476-5648
(715) 241-6800
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5378-015
WI
Other
Enumeration date
07/09/2008
Last updated
07/09/2008
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