Individual
DAN J GHOLSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2850 MIDWEST DR, SUITE 102, ONALASKA, WI 54650-6732
(608) 782-0140
(608) 785-7610
Mailing address
2850 MIDWEST DR, SUITE 102, ONALASKA, WI 54650-6732
(608) 782-0140
(608) 785-7610
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
2363
WI
Other
Enumeration date
06/03/2006
Last updated
07/08/2007
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