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ROSS D WERNER DDS

>> Dentist >> Dental Providers

Registrant NPI Number: 1801955950

Individual Registrant:
 ROSS D WERNER DDS
Gender: M
Not Sole Proprietor

Location and contact information for practice:
125 N HIGH ST  RANDOLPH, WI 53956-1267 US
Tel: 920-326-3194  Fax: 920-326-3651

Contact information for business:
125 N HIGH ST  RANDOLPH, WI 53956-1267 US
Tel: 920-326-3194  Fax: 920-326-3651

Registration Information:
NPI: 1801955950
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y122300000XDental Providers
Dentist
WI3858015

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
33686100WI05




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