Deer Creek Dental Clinic, Ltd

NPI #1700110574 in Tomah, Wisconsin

Provider Information

NPI Number
1700110574
Entity Type
Organization
Organization Name
Deer Creek Dental Clinic, Ltd
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Sep 28, 2009
Last Updated
Mar 13, 2014

Practice Location

Address
820 N SUPERIOR AVE
City
Tomah
ZIP Code
54660-1120
Phone
(608) 372-5000

Authorized Official

Name
MRS. KATHERINE E KONZE, PHR
Title
OFFICE ADMINISTRATOR
Phone
(608) 372-5000

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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