Hawksford Dental Care, LLC

NPI #1275112013 in Hayward, Wisconsin

Provider Information

NPI Number: 1275112013
Entity Type: Organization
Organization Name: Hawksford Dental Care, LLC
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Apr 7, 2021
Last Updated: Apr 7, 2021

Practice Location

Address: 15541 W HWY 77 E
City: Hayward
State: Wisconsin
ZIP Code: 54843
Phone: (715) 634-6776

Authorized Official

Name: ASHLEY OLDEEN
Title: OFFICE MANAGER
Phone: (715) 634-6776

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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