Northwoods Dentistry, Rice Lake LLC

NPI #1336624659 in Rice Lake, Wisconsin

Provider Information

NPI Number
1336624659
Entity Type
Organization
Organization Name
Northwoods Dentistry, Rice Lake LLC
Primary Specialty
Clinic/Center
Enumeration Date
Oct 2, 2018
Last Updated
Oct 2, 2018

Practice Location

Address
115 E THOMAS ST
ZIP Code
54868-3055
Phone
(715) 234-4636

Authorized Official

Name
MRS. JENNIFER STAROBA
Title
PRACTICE MANAGER
Phone
(715) 428-2421

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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