Fort Family Dental Center, SC
Fort Family Dental Center, SC is a General Practice Dentistry in Fort Atkinson, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2006.
- Licensed in
- WI
- In the registry since
- 2006
Practice location Address checks out
715 Sherman Ave EFort Atkinson, WI 53538-1992
Phone: (920) 563-4322
Fax: (920) 563-6585
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 2255 (WI) |
|---|
Record details
| NPI number | 1942314067 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | David Luisier — President · (920) 563-4322 |
| NPI enumerated | August 18, 2006 |
| Last updated in NPPES | August 20, 2008 |
| Mailing address | 715 Sherman Ave E, Fort Atkinson, WI 53538-1992 |
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