Organization
VEZZETTI FAMILY DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY BETH VEZZETTI DDS (OWNER)
(262) 820-3330
Entity
Organization
Contact information
Practice address
W249N5245 EXECUTIVE DR, SUITE 206, SUSSEX, WI 53089-4393
(262) 820-3330
Mailing address
W249N5245 EXECUTIVE DR, SUITE 206, SUSSEX, WI 53089-4393
(262) 820-3330
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
504215
WI
Other
Enumeration date
06/25/2012
Last updated
06/25/2012
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