Oshkosh Family Dental LLC

NPI #1699236240 in Oshkosh, Wisconsin

Provider Information

NPI Number
1699236240
Entity Type
Organization
Organization Name
Oshkosh Family Dental LLC
Subpart
Yes (part of a larger organization)
Parent Organization
CHERRY TREE DENTAL, LLC
Primary Specialty
Dentist
Enumeration Date
Mar 27, 2019
Last Updated
Mar 27, 2019

Practice Location

Address
1815 W POINTE DR
ZIP Code
54902-4174
Phone
(608) 833-2213

Authorized Official

Name
OLGA GRENOVA
Title
CONTROLLER
Phone
(608) 215-5899

Specialties & Taxonomy Codes

Specialty
Dentist

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