Western Dairyland Eoc, Inc.

NPI #1356549422 in Independence, Wisconsin

Provider Information

NPI Number: 1356549422
Entity Type: Organization
Organization Name: Western Dairyland Eoc, Inc.
Primary Specialty: Dental Hygienist
Enumeration Date: Jul 10, 2007
Last Updated: Jul 10, 2007

Practice Location

Address: 23122 WHITEHALL RD
City: Independence
State: Wisconsin
ZIP Code: 54747-7702
Phone: (715) 985-2391

Authorized Official

Name: JAMES W SCHWARTZ
Title: EXECUTIVE DIRECTOR
Phone: (715) 985-2391

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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