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DR. BLAKE C. TREICHEL D.D.S.
>> Dentist >> Dental ProvidersRegistrant NPI Number: 1063826659
Individual Registrant:DR. BLAKE C. TREICHEL D.D.S.
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
230 E TOWNE DR HORTONVILLE, WI 54944-9303 US
Tel: 920-779-4533 Fax: --
Tel: 920-779-4533 Fax: --
Contact information for business:
230 E TOWNE DR HORTONVILLE, WI 54944-9303 US
Tel: 920-779-4533 Fax: --
Tel: 920-779-4533 Fax: --
Registration Information:
NPI: 1063826659
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 122300000X | Dental Providers Dentist | WI | 7267 - 15 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
