Arrowhead Family Dental

NPI #1417085093 in Rice Lake, Wisconsin

Provider Information

NPI Number: 1417085093
Entity Type: Organization
Organization Name: Arrowhead Family Dental
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 2, 2007
Last Updated: Jul 10, 2012

Practice Location

Address: 5 WEST AVE
City: Rice Lake
State: Wisconsin
ZIP Code: 54868-1385
Phone: (715) 736-3500

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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