Menomonie Street Dental
NPI #1689746851 in Eau Claire, Wisconsin
Provider Information
- NPI Number
- 1689746851
- Entity Type
- Organization
- Organization Name
- Menomonie Street Dental
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Nov 14, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1020 MENOMONIE ST
- City
- Eau Claire
- State
- Wisconsin
- ZIP Code
- 54703-5952
- Phone
- (715) 834-8161
Authorized Official
- Name
- MARIA ANN HANKE
- Title
- INSURANCE COORDINATOR
- Phone
- (715) 834-8161
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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