Organization
CENTER FOR DENTISTRY AND ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERALD S. WALCZAK D.D.S. (DENTISTRY)
(715) 341-8335
Entity
Organization
Contact information
Practice address
5625 WOODLAND ST, STEVENS POINT, WI 54481-8637
(715) 341-8335
(715) 343-0977
Mailing address
292 MAPLE BLUFF RD, STEVENS POINT, WI 54481-9267
(715) 345-2168
(715) 343-0977
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
3383
WI
Other
Enumeration date
05/23/2007
Last updated
08/22/2020
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