Organization
PACZKOWSKI FAMILY DENTAL, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERALD WILLIAM PACZKOWSKI JR. (OWNER)
(920) 794-8911
Entity
Organization
Contact information
Practice address
1614 WASHINGTON ST, TWO RIVERS, WI 54241-3069
(920) 794-8911
Mailing address
1614 WASHINGTON ST, TWO RIVERS, WI 54241-3069
(920) 794-8911
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
04/24/2007
Last updated
08/05/2008
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