Organization
CHARLES C. LOBERG D.D.S.,S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES CLAYTON LOBERG D.D.S. (PRESIDENT)
(920) 982-5181
Entity
Organization
Contact information
Practice address
201 WISCONSIN ST, NEW LONDON, WI 54961-1171
(920) 982-5181
(920) 982-1098
Mailing address
201 WISCONSIN ST, NEW LONDON, WI 54961-1171
(920) 982-5181
(920) 982-1098
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5000793-015
WI
Other
Enumeration date
03/12/2007
Last updated
08/22/2020
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