Organization
BROTHERS IN BOND, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BLAKE CHARLES TREICHEL DDS (OWNER/DENTIST)
(920) 779-4533
Entity
Organization
Contact information
Practice address
230 E TOWNE DR, HORTONVILLE, WI 54944-9303
(920) 779-4533
Mailing address
PO BOX 429, HORTONVILLE, WI 54944-0429
(920) 779-4533
(920) 779-4333
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/19/2024
Last updated
02/19/2024
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