Organization
DEPAS FAMILY DENTAL CARE, S. C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID ARTHUR DEPAS D.D.S. (DENTIST - PRESIDENT)
(920) 968-1900
Entity
Organization
Contact information
Practice address
1431 PROVINCE TER, MENASHA, WI 54952-7003
(920) 968-1900
Mailing address
1431 PROVINCE TER, MENASHA, WI 54952-7003
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
3894-015
WI
1223G0001X
General Practice Dentistry
Primary
4239-015
WI
Other
Enumeration date
12/31/2006
Last updated
08/22/2020
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