St Croix Periodontics

NPI #1669684726 in Hudson, Wisconsin

Provider Information

NPI Number
1669684726
Entity Type
Organization
Organization Name
St Croix Periodontics
Primary Specialty
Dentist - Periodontics
Enumeration Date
May 3, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
1200 CRESTVIEW DRIVE
Address 2
SUITE4
City
Hudson
ZIP Code
54016-9391
Phone
(715) 377-7860

Authorized Official

Name
DR. JAMES ROBERT NORRIS, DDSMS
Title
PRESIDENT
Phone
(715) 377-7860

Specialties & Taxonomy Codes

Specialty
Dentist - PeriodonticsPeriodontics

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