Organization
WILLIAM C MAUTHE & ASSOCIATES DDS SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM CARLTON MAUTHE III DDS (DENTIST PRESIDENT)
(920) 921-1244
Entity
Organization
Contact information
Practice address
101 CAMELOT DR, FOND DU LAC, WI 54935
(920) 921-1244
(920) 921-2192
Mailing address
101 CAMELOT DR, FOND DU LAC, WI 54935
(920) 921-1244
(920) 921-2192
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5479
WI
Other
Enumeration date
03/07/2007
Last updated
08/22/2020
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