Community Dental
NPI #1588666747 in Black River Falls, Wisconsin
Provider Information
- NPI Number
- 1588666747
- Entity Type
- Organization
- Organization Name
- Community Dental
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jun 1, 2005
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 716 W ADAMS ST
- State
- Wisconsin
- ZIP Code
- 54615-9108
- Phone
- (715) 284-9409
Authorized Official
- Name
- MRS. MARIA E BURLINGAME
- Title
- OFFICE
- Phone
- (715) 284-9409
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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