Organization
SHOWALTER, INC
Active
Other names
Rock River Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TRAVIS D SHOWALTER (PRESIDENT)
(920) 563-4415
Entity
Organization
Contact information
Practice address
1951 COMMERCE PKWY, FORT ATKINSON, WI 53538-3139
(920) 563-4415
(920) 563-4476
Mailing address
1951 COMMERCE PKWY, FORT ATKINSON, WI 53538-3139
(920) 563-4415
(920) 563-4476
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/22/2010
Last updated
06/22/2010
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