Organization
WAITE FAMILY DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAN M WAITE D.D.S. (GENERAL DENTIST)
(608) 348-3031
Entity
Organization
Contact information
Practice address
580 KASE ST, PLATTEVILLE, WI 53818-1814
(608) 348-3031
(608) 348-9739
Mailing address
580 KASE ST, P.O. BOX 255, PLATTEVILLE, WI 53818-1814
(608) 348-3031
(608) 348-9739
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4104
WI
Other
Enumeration date
02/28/2007
Last updated
08/22/2020
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