Organization
JUST KIDS DENTAL SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAIME K MARCHI DDS (PRESIDENT)
(920) 452-7336
Entity
Organization
Contact information
Practice address
1313 N TAYLOR DR, SHEBOYGAN, WI 53081-3041
(920) 452-7336
(920) 453-9770
Mailing address
1313 N TAYLOR DR, SHEBOYGAN, WI 53081-3041
(920) 452-7336
(920) 453-9770
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
5236015
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33762400
—
WI
Enumeration date
07/30/2006
Last updated
12/13/2011
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