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Organization

MDC MAUSTON SC

Active
Other names
CASTLE ROCK DENTAL
Organization subpart
No

Provider details

NPI number
Authorized official
DR. WILLIAM C MAUTHE III D.D.S. (OWNER)
(920) 921-1244
Entity
Organization

Contact information

Practice address
205 DIVISION ST STE B, MAUSTON, WI 53948-2110
(608) 847-5572
Mailing address
54 E 1ST ST, FOND DU LAC, WI 54935-4204

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
05/13/2014
Last updated
05/13/2014
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