Organization
ADVANCED DENTAL CARE, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RIECK A BEIERSDORF (OWNER,PRESIDENT)
(920) 892-8466
Entity
Organization
Contact information
Practice address
62 S PLEASANTVIEW RD, PLYMOUTH, WI 53073-4954
(920) 892-8466
(920) 892-8467
Mailing address
62 S PLEASANTVIEW RD, PLYMOUTH, WI 53073-4954
(920) 892-8466
(920) 892-8467
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
WI
Other
Enumeration date
05/02/2007
Last updated
08/22/2020
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