Individual
DR. DANIEL MARTIN FALLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
8 BOON BLVD, MARSHFIELD CLINIC DENTAL CENTER - NEILLSVILLE, NEILLSVILLE, WI 54456-2176
(715) 743-1900
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-5511
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6478
WI
1223G0001X
General Practice Dentistry
D12720
MN
Other
Enumeration date
07/06/2009
Last updated
01/21/2010
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