Organization
DOUGLAS D PODOLL DDS DC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS D PODOLL DDS (PRESIDENT)
(715) 268-8109
Entity
Organization
Contact information
Practice address
404 WISCONSIN AVE, AMERY, WI 54001
(715) 268-8109
(715) 268-4620
Mailing address
404 WISCONSIN AVE, AMERY, WI 54001
(715) 268-8109
(715) 268-4620
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
3237
WI
Other
Enumeration date
09/12/2006
Last updated
08/22/2020
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