Dental Visions, LLC

NPI #1164935029 in Weston, Wisconsin

Provider Information

NPI Number: 1164935029
Entity Type: Organization
Organization Name: Dental Visions, LLC
Primary Specialty: Dentist
Enumeration Date: Nov 14, 2017
Last Updated: Nov 14, 2017

Practice Location

Address: 3715 WESTON AVE
City: Weston
State: Wisconsin
ZIP Code: 54476-5243
Phone: (715) 203-1255

Authorized Official

Name: OLGA GRENOVA
Title: DIRECTOR OF ACCOUNTING
Phone: (608) 833-2213

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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