Grandview Dental S.c.

NPI #1639202013 in Hudson, Wisconsin

Provider Information

NPI Number: 1639202013
Entity Type: Organization
Organization Name: Grandview Dental S.c.
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 14, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 900 CRESTVIEW DR
Address 2: SUITE 240
City: Hudson
State: Wisconsin
ZIP Code: 54016-9517
Phone: (715) 381-5556

Authorized Official

Name: PATRICK LEE WOLFE, D.D.S.
Title: PRESIDENT AND DENTIST
Phone: (715) 381-5556

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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