Organization
DUDLEY FAMILY DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MITCH WEILAND (SENIOR ACCOUNTANT)
(608) 343-0818
Entity
Organization
Contact information
Practice address
1763 TAFT AVE, OSHKOSH, WI 54902-3220
(920) 233-1927
Mailing address
1763 TAFT AVE, OSHKOSH, WI 54902-3220
(920) 233-1927
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
11/03/2020
Last updated
11/03/2020
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