Deforest Dental Services Valid NPI
Organization · General Practice Dentistry · Deforest, WI
- NPI
- 1730282344
- Type
- Organization (Type 2)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 2412WI (WI)
- Enumerated
- 2006-09-07
- Last updated
- 2020-08-22
Practice location
210 N. Main St., Ste 103
Deforest, WI 53532
(608) 846-3948