Organization
MDC STEVENS POINT, LLC
Active
Other names
Dental Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BERNARD JOSEPH BOLKA IV CPA (CHIEF FINANCIAL OFFICER)
(920) 579-3188
Entity
Organization
Contact information
Practice address
5541 US HIGHWAY 10 E, STEVENS POINT, WI 54482-8306
(715) 344-7911
Mailing address
PO BOX 1658, FOND DU LAC, WI 54936-1658
(920) 579-3188
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/27/2020
Last updated
08/27/2020
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