Dental Park SC
Dental Park SC is a Dental Clinic/Center in Manitowoc, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2005.
- Licensed in
- WI
- In the registry since
- 2005
Practice location Address checks out
1503 Randolph CtManitowoc, WI 54220-8345
Phone: (920) 682-0321
Fax: (920) 682-3128
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dental Clinic/Center (primary) | Taxonomy 261QD0000X (WI) |
|---|
Record details
| NPI number | 1386636959 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Daniel Boettcher — Partner Secretary · (920) 682-0321 |
| NPI enumerated | August 18, 2005 |
| Last updated in NPPES | July 21, 2022 |
| Mailing address | 1503 Randolph Ct, Manitowoc, WI 54220-8345 |
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