Organization · Type 2 NPI
New London Family Dental LLC
Dental Clinic/Center · New London, WI
NPI number
1154890549
Active
Practice location
105 North Ridge Dr
New London, WI 54961-5496
Mailing address
105 Northridge Dr
New London, WI 54961-2703
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
About NPI 1154890549
New London Family Dental LLC's National Provider Identifier is 1154890549, issued on Nov 15, 2018. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in New London, WI. The record was last updated on Jun 12, 2020.