Western Dairyland Eoc
NPI #1255660759 in Independence, Wisconsin
Provider Information
- NPI Number
- 1255660759
- Entity Type
- Organization
- Organization Name
- Western Dairyland Eoc
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Dec 11, 2009
- Last Updated
- Dec 11, 2009
Practice Location
- Address
- 23140 WHITEHALL RD
- City
- Independence
- State
- Wisconsin
- ZIP Code
- 54747-7702
- Phone
- (715) 985-2391
Authorized Official
- Name
- MR. JAMES W SCHWARTZ
- Title
- EXECUTIVE DIRECTOR
- Phone
- (715) 985-2391
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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