Platteville Dental LLC
NPI #1255573184 in Platteville, Wisconsin
Provider Information
- NPI Number
- 1255573184
- Entity Type
- Organization
- Organization Name
- Platteville Dental LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Mar 24, 2009
- Last Updated
- Mar 24, 2009
Practice Location
- Address
- 1270 N WATER ST
- City
- Platteville
- State
- Wisconsin
- ZIP Code
- 53818-1450
- Phone
- (608) 348-2393
Authorized Official
- Name
- AMANDA JACQUINOT
- Title
- BUSINESS MANAGER
- Phone
- (608) 852-7298
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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