Baxa Dental Inc., S.c.
NPI #1457361941 in Independence, Wisconsin
Provider Information
- NPI Number
- 1457361941
- Entity Type
- Organization
- Organization Name
- Baxa Dental Inc., S.c.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Aug 8, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 35791 OSSEO RD
- City
- Independence
- State
- Wisconsin
- ZIP Code
- 54747-9096
- Phone
- (715) 985-3316
Authorized Official
- Name
- DR. WILLIAM J. BAXA, DDS
- Title
- OWNER/PRESIDENT
- Phone
- (715) 985-3316
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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