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Poth Family Dental, S.c.
Dental Clinic/Center in Fredonia, Wisconsin
NPI 1376747493

Poth Family Dental, S.c. is a Dental Clinic/Center based in Fredonia, WI and is specialized in Dental. Poth Family Dental, S.c. practices in Fredonia, WI. The NPI Number for Poth Family Dental, S.c. is 1376747493 and holds a License No. 4245-015 (Wisconsin).

The current practice location address for Poth Family Dental, S.c. is 100 Martin Dr, Fredonia, WI and can be reached out via phone at 262-692-2461 and via fax at 262-692-9889.

Location: 100 Martin Dr, Fredonia, WI, 53021-9455
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1376747493
Provider Name
Poth Family Dental, S.c.
Credential
Provider Entity Type
Organization
Address
100 Martin Dr, Fredonia, WI, 53021-9455
Phone Number
262-692-2461
Fax Number
262-692-9889
Provider Enumeration Date
06/13/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
100 Martin Dr
City
Fredonia
State
Wisconsin
Zip
53021-9455
Phone Number
262-692-2461
Fax Number
262-692-9889
person
Provider Business Mailing Address Details
Address
100 Martin Dr
City
Fredonia
State
Wisconsin
Zip
53021-9455
Phone Number
262-692-2461
Fax Number
262-692-9889
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
4245-015 (Wisconsin)
Definition
Definition to come...
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