Organization
E A DARKOW DDS SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EUGENE A DARKOW JR. DDS (OWNER)
(920) 725-1111
Entity
Organization
Contact information
Practice address
114 HAYLETT STREET, NEENAH, WI 54956
(920) 725-1111
(920) 725-1932
Mailing address
114 HAYLETT STREET, NEENAH, WI 54956
(920) 725-1111
(920) 725-1932
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3205
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33469800
—
WI
Enumeration date
08/31/2007
Last updated
10/18/2007
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