Mapleleaf Dental
NPI #1417177916 in Marshfield, Wisconsin
Provider Information
- NPI Number
- 1417177916
- Entity Type
- Organization
- Organization Name
- Mapleleaf Dental
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Apr 26, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 504 S CHESTNUT AVE
- City
- Marshfield
- State
- Wisconsin
- ZIP Code
- 54449-3604
- Phone
- (715) 384-3515
Authorized Official
- Name
- GENIE KUBLE
- Title
- CONTACT OFFICER
- Phone
- (920) 450-0157
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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