Crystal River Dental, LLC

NPI #1255940227 in Waupaca, Wisconsin

Provider Information

NPI Number
1255940227
Entity Type
Organization
Organization Name
Crystal River Dental, LLC
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Jul 27, 2020
Last Updated
Jul 27, 2020

Practice Location

Address
400 SCHOOL ST
ZIP Code
54981-1626
Phone
(616) 450-9270

Authorized Official

Name
MS. KELLY A BELLINGER
Title
OPERATIONS MANAGER
Phone
(616) 450-9270

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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