Dental Implant Center

NPI #1588972590 in Onalaska, Wisconsin

Provider Information

NPI Number: 1588972590
Entity Type: Organization
Organization Name: Dental Implant Center
Primary Specialty: Dentist
Enumeration Date: Sep 24, 2010
Last Updated: Sep 24, 2010

Practice Location

Address: 1202 COUNTY ROAD PH
Address 2: SUITE 300
City: Onalaska
State: Wisconsin
ZIP Code: 54650-8439
Phone: (608) 783-7330

Authorized Official

Name: GENIE KUBLE
Title: CONTACT OFFICER
Phone: (920) 450-0157

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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