Prairie Run Dental S.c.
NPI #1588878482 in Marshfield, Wisconsin
Provider Information
- NPI Number
- 1588878482
- Entity Type
- Organization
- Organization Name
- Prairie Run Dental S.c.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 9, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1807 PRAIRIE DRIVE
- City
- Marshfield
- State
- Wisconsin
- ZIP Code
- 54449
- Phone
- (715) 387-1724
Authorized Official
- Name
- JAIME L SEEHAFER
- Title
- ACCOUNTS MANAGER
- Phone
- (715) 387-1724
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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