Mercy Dental Evansville LLC
NPI #1467269753 in Evansville, Wisconsin
Provider Information
- NPI Number
- 1467269753
- Entity Type
- Organization
- Organization Name
- Mercy Dental Evansville LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Dec 11, 2024
- Last Updated
- Dec 11, 2024
Practice Location
- Address
- 109 S MADISON ST
- City
- Evansville
- State
- Wisconsin
- ZIP Code
- 53536-1319
- Phone
- (608) 882-4441
Authorized Official
- Name
- MARCIE RAULS
- Title
- COO
- Phone
- (608) 438-9058
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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