Cedar Creek Dental

NPI #1043352495 in Menomonie, Wisconsin

Provider Information

NPI Number: 1043352495
Entity Type: Organization
Organization Name: Cedar Creek Dental
Primary Specialty: Dentist - General Practice
Enumeration Date: Feb 13, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 3101 SCHNEIDER AVE SE
Address 2: SUITE 1
City: Menomonie
State: Wisconsin
ZIP Code: 54751-2820
Phone: (715) 233-1400

Authorized Official

Name: GENIE KUBLE
Title: CONTACT OFFICER
Phone: (920) 450-0157

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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