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AREA DENTAL ASSOCIATES, LLC

Clinic - Oral and Maxillofacial Surgery

Watertown, Wisconsin

Provider NPI: 1154909414

Organization Information:
Organization Name:  AREA DENTAL ASSOCIATES, LLC


Practice Location:
1149 BOUGHTON ST BLDG B  WATERTOWN, WI 53094 US
Tel: 920-261-0495  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N261QS0112XAmbulatory Health Care Facilities
Clinic/Center
Oral and Maxillofacial Surgery
Y261QD0000XAmbulatory Health Care Facilities
Clinic/Center

Other Provider Identifiers:

IssuerNumberStateType
NPI101322051601
NPI146750943001
NPI122565935201
NPI142729362001
NPI161907758301
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin



ORAL SURGERY JOBS WI - Page 1



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