Acacia Lane Dental, S.c.
NPI #1609987288 in Rhinelander, Wisconsin
Provider Information
- NPI Number
- 1609987288
- Entity Type
- Organization
- Organization Name
- Acacia Lane Dental, S.c.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Aug 31, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 664 ACACIA LN
- City
- Rhinelander
- State
- Wisconsin
- ZIP Code
- 54501-2873
- Phone
- (715) 365-8664
Authorized Official
- Name
- DR. GREGORY DANA EDWARDS, D.D.S.
- Title
- PRESIDENT
- Phone
- (715) 365-8664
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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