Individual
WILLIAM C MAUTHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
101 CAMELOT DR STE 3, FOND DU LAC, WI 54935-8048
(920) 921-1244
(920) 921-2192
Mailing address
101 CAMELOT DR STE 3, FOND DU LAC, WI 54935-8048
(920) 921-1244
(920) 921-2192
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5000189
WI
Other
Enumeration date
12/18/2008
Last updated
12/18/2008
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