Organization Name: | C.J. KARAS, D.D.S. OF NECEDAH.S.C |
NPI Number: | 1518193820 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHRISTOPHER J. KARAS (OWNER) |
Mailing Address: | 1412 Wheelihan Ave Necedah |
State: | WI US |
Postal Code: | 546468253 |
Phone Number: | 6085657173 |
Fax Number: | 6085652734 |
NPI Enumeration Date: | 06/02/2009 |
NPI Last Update Date: | 06/02/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QD0000X |
License Number: | 5583 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WI |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Dental |
Taxonomy Definition: |