Organization
MODERN DENTAL CENTER OSHKOSH LLC
Active
Other names
Dental Care Alliance
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL COLE (VP INSURANCE PLAN MANAGEMENT)
(727) 424-2990
Entity
Organization
Contact information
Practice address
1795 W POINTE DR, OSHKOSH, WI 54902-4297
(920) 235-6453
Mailing address
1795 W POINTE DR, OSHKOSH, WI 54902-4297
(920) 235-6453
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
02/25/2022
Last updated
02/25/2022
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