Organization
COMPLETE FAMILY DENTISTRY, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL JAMES SHERMAN D.D.S. (PRESIDENT)
(262) 728-6437
Entity
Organization
Contact information
Practice address
1221 PHOENIX ST, DELAVAN, WI 53115-2340
(262) 728-6437
Mailing address
1221 PHOENIX ST, DELAVAN, WI 53115-2340
(262) 728-6437
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3353
WI
Other
Enumeration date
12/19/2006
Last updated
08/22/2020
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