Organization
WAUSHARA DENTAL ASSOCIATE SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARREN STELTER (PRESIDENT)
(920) 361-3800
Entity
Organization
Contact information
Practice address
322 BROADWAY, BERLIN, WI 54923
(920) 361-3800
Mailing address
322 BROADWAY, BERLIN, WI 54923
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/24/2014
Last updated
10/24/2014
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