Platteville Dental LLC
NPI #1811430085 in Platteville, Wisconsin
Provider Information
- NPI Number
- 1811430085
- Entity Type
- Organization
- Organization Name
- Platteville Dental LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Nov 21, 2016
- Last Updated
- Nov 21, 2016
Practice Location
- Address
- 1270 N WATER ST
- City
- Platteville
- State
- Wisconsin
- ZIP Code
- 53818-1450
- Phone
- (608) 348-2393
Authorized Official
- Name
- AMANDA JACQUINOT
- Title
- BUSINESS MANAGER
- Phone
- (608) 852-7298
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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