Dhcsc

NPI #1336581875 in Thorp, Wisconsin

Provider Information

NPI Number: 1336581875
Entity Type: Organization
Organization Name: Dhcsc
Subpart: Yes (part of a larger organization)
Parent Organization: DHCSC
Primary Specialty: Dentist
Enumeration Date: Jul 25, 2013
Last Updated: Jul 25, 2013

Practice Location

Address: 202 W PROSPECT ST
City: Thorp
State: Wisconsin
ZIP Code: 54771-9303
Phone: (715) 669-5620

Authorized Official

Name: JOHN TESSENDORF, DDS
Title: OWNER
Phone: (715) 832-3100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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