institution
Dr. Brian J. Underwood, D.d.s., S.c.
Dental Clinic/Center in Strum, Wisconsin
NPI 1437329901

Dr. Brian J. Underwood, D.d.s., S.c. is a Dental Clinic/Center based in Strum, WI and is specialized in Dental. Dr. Brian J. Underwood, D.d.s., S.c. practices in Strum, WI. The NPI Number for Dr. Brian J. Underwood, D.d.s., S.c. is 1437329901 and holds a License No. 3750 (Wisconsin).

The current practice location address for Dr. Brian J. Underwood, D.d.s., S.c. is 105 5Th Ave N, Strum, WI and can be reached out via phone at 715-695-2918 and via fax at 715-695-3852.

Location: 105 5Th Ave N, Strum, WI, 54770-9252
institution
Provider Profile Details
NPI Number
1437329901
Provider Name
Dr. Brian J. Underwood, D.d.s., S.c.
Credential
Provider Entity Type
Organization
Address
105 5Th Ave N, Strum, WI, 54770-9252
Phone Number
715-695-2918
Fax Number
715-695-3852
Provider Enumeration Date
03/11/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
33693400 05 WI
391675083011 01 BLUE CROSS BLUE SHIELD
391675083001 01 DELTA DENTAL
institution
Provider Business Practice Location Address Details
Address
105 5Th Ave N
City
State
Zip
54770-9252
Phone Number
715-695-2918
Fax Number
715-695-3852
person
Provider Business Mailing Address Details
Address
105 5Th Ave N
City
State
Zip
54770-9252
Phone Number
715-695-2918
Fax Number
715-695-3852
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
3750 (Wisconsin)
Definition
Definition to come...
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