Individual
ERIC ANTHONY TEDUITS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.,M.S.
Contact information
Practice address
2971 CHAPEL VALLEY RD, SUITE 202, FITCHBURG, WI 53711-7420
(608) 288-0543
(608) 288-0626
Mailing address
2971 CHAPEL VALLEY RD, SUITE 202, FITCHBURG, WI 53711-7420
(608) 288-0543
(608) 288-0626
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
4376
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33704700
—
WI
Enumeration date
10/04/2006
Last updated
07/08/2007
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