Organization · Type 2 NPI
Waterford Family Dental LLC
Dental Clinic/Center · Waterford, WI
NPI number
1316081441
Active
Practice location
107A W Main St
Waterford, WI 53185-4129
Fax (262) 514-4388
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 3199-015 (WI) |
Dental Clinic/Center: Definition to come...
Another provider at this address
About NPI 1316081441
Waterford Family Dental LLC's National Provider Identifier is 1316081441, issued on Feb 20, 2007. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Waterford, WI. The record was last updated on Apr 22, 2019.