St. Croix Dental Health, LLC

NPI #1164996997 in Webster, Wisconsin

Provider Information

NPI Number
1164996997
Entity Type
Organization
Organization Name
St. Croix Dental Health, LLC
Primary Specialty
Dentist - General Practice
Enumeration Date
Jan 15, 2019
Last Updated
Nov 12, 2019

Practice Location

Address
26425 LAKELAND AVE S
ZIP Code
54893-8343
Phone
(715) 866-4420

Authorized Official

Name
TANYA MORTEL
Title
CREDENTIALING COORDINATOR
Phone
(715) 483-0429

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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