Organization
SHEBOYGAN FAMILY DENTISTRY LLC
Active
Other names
Korolewski Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MITCH WEILAND (SENIOR ACCOUNTANT)
(608) 343-0818
Entity
Organization
Contact information
Practice address
1407 N 8TH ST STE 101, SHEBOYGAN, WI 53081-3400
(920) 458-8389
Mailing address
1407 N 8TH ST STE 101, SHEBOYGAN, WI 53081-3400
(920) 458-8389
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
08/28/2020
Last updated
08/28/2020
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