Oakpark Dental

NPI #1386715662 in Oshkosh, Wisconsin

Provider Information

NPI Number: 1386715662
Entity Type: Organization
Organization Name: Oakpark Dental
Primary Specialty: Dentist - General Practice
Enumeration Date: Nov 10, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 450 N KOELLER ST
City: Oshkosh
State: Wisconsin
ZIP Code: 54902-4111
Phone: (920) 235-5503

Authorized Official

Name: GENIE KUBLE
Title: CONTACT OFFICER
Phone: (920) 450-0157

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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