Organization
THOMAS H REITZ DDS SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBRA J REITZ (VICE PRESIDENT)
(608) 884-3358
Entity
Organization
Contact information
Practice address
1007 N MAIN ST, EDGERTON, WI 53534
(608) 884-3358
(608) 884-4917
Mailing address
1007 N MAIN ST, EDGERTON, WI 53534
(608) 884-3358
(608) 884-4917
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3953 015
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33683700
—
WI
Enumeration date
08/31/2006
Last updated
08/22/2020
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