Organization
MDC NEW BERLIN, LLC
Active
Other names
Art of Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER TWOHIG (DIRECTOR OF DEVELOPMNET)
(920) 602-0007
Entity
Organization
Contact information
Practice address
15738 W NATIONAL AVE, NEW BERLIN, WI 53151-5119
(262) 784-2110
Mailing address
7 SHEBOYGAN ST, FOND DU LAC, WI 54935-4281
(920) 602-0007
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/07/2016
Last updated
09/07/2016
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