Individual
LOREN CHARLES SWANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2215 OREGON ST, OSHKOSH, WI 54902-7060
(920) 231-8120
(920) 231-8296
Mailing address
2215 OREGON ST, OSHKOSH, WI 54902-7060
(920) 231-8120
(920) 231-8296
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5001301015
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33614900
—
WI
Enumeration date
02/25/2007
Last updated
07/09/2007
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