Organization
ALLENTON FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KOLVER MATOS DDS (PRESIDENT)
(815) 762-5655
Entity
Organization
Contact information
Practice address
608 CHURCH ST, ALLENTON, WI 53002-1014
(262) 629-5955
Mailing address
608 CHURCH ST, ALLENTON, WI 53002-1014
(262) 629-5595
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/01/2021
Last updated
07/01/2021
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