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Organization

PURDY FAMILY DENTISTRY

Active
Parent organization
PURDY FAMILY DENTISTRY
Organization subpart
Yes

Provider details

NPI number
Legal business name
PURDY FAMILY DENTISTRY
Authorized official
DR. JAMES PURDY D.D.S. (DENTIST)
(715) 381-9785
Entity
Organization

Contact information

Practice address
1730 8TH AVENUE, BALDWIN, WI 54002
(715) 688-3110
Mailing address
1730 8TH AVENUE, BALDWIN, WI 54002
(715) 688-3110

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5625
WI

Other

Enumeration date
11/29/2010
Last updated
11/29/2010
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