Dental Clinic of Onalaska

NPI #1508076704 in Onalaska, Wisconsin

Provider Information

NPI Number: 1508076704
Entity Type: Organization
Organization Name: Dental Clinic of Onalaska
Primary Specialty: Dentist
Enumeration Date: May 23, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 1008 MAIN ST
City: Onalaska
State: Wisconsin
ZIP Code: 54650-2741
Phone: (608) 783-3341

Authorized Official

Name: DR. MIKE P. OLSEN, D.D.S.
Title: PRESIDENT
Phone: (608) 783-3341

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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