Maplewood Dental

NPI #1902972896 in Onalaska, Wisconsin

Provider Information

NPI Number: 1902972896
Entity Type: Organization
Organization Name: Maplewood Dental
Primary Specialty: Dentist - General Practice
Enumeration Date: Nov 24, 2006
Last Updated: Jun 1, 2009

Practice Location

Address: 1202 COUNTY TRUNK PH
Address 2: SUITE 300
City: Onalaska
State: Wisconsin
ZIP Code: 54650
Phone: (608) 783-7330

Authorized Official

Name: GENIE KUBLE
Title: CONTACT OFFICER
Phone: (920) 450-0157

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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