Organization · Type 2 NPI
MDC Castle Rock
Dental Clinic/Center · Mauston, WI
NPI number
1124689914
Active
Practice location
205 Division St
Mauston, WI 53948-2109
Mailing address
PO Box 1658
Fond Du Lac, WI 54936-1658
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
Another provider at this address
About NPI 1124689914
MDC Castle Rock's National Provider Identifier is 1124689914, issued on Jun 24, 2019. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Mauston, WI. The record was last updated on Jun 24, 2019.