Organization
MDC OSHKOSH, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM MAUTHE III D.D.S. (OWNER)
(920) 948-6407
Entity
Organization
Contact information
Practice address
2215 OREGON ST, OSHKOSH, WI 54902-7060
(920) 231-8120
Mailing address
101 CAMELOT DR, SUITE 3, FOND DU LAC, WI 54935-8048
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/26/2012
Last updated
09/26/2012
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