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DR. BLAKE C. TREICHEL D.D.S.

>> Dentist >> Dental Providers

Registrant NPI Number: 1063826659

Individual Registrant:
DR. BLAKE C. TREICHEL D.D.S.
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: --

Contact information for business:
230 E TOWNE DR  HORTONVILLE, WI 54944-9303 US
Tel: 920-779-4533  Fax: --

Registration Information:
NPI: 1063826659
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y122300000XDental Providers
Dentist
WI7267 - 15

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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