Poth Family Dental, SC
Poth Family Dental, SC is a Dental Clinic/Center in Fredonia, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2007.
- Licensed in
- WI
- In the registry since
- 2007
Practice location Address checks out
100 Martin DrFredonia, WI 53021-9455
Phone: (262) 692-2461
Fax: (262) 692-9889
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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 · Licence 4245-015 (WI) |
|---|
Record details
| NPI number | 1376747493 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | John Poth — President · (262) 692-2461 |
| NPI enumerated | June 13, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 100 Martin Dr, Fredonia, WI 53021-9455 |