Oral Health Clinic INC

NPI #1952592420 in Lake Mills, Wisconsin

Provider Information

NPI Number: 1952592420
Entity Type: Organization
Organization Name: Oral Health Clinic INC
Primary Specialty: Dentist
Enumeration Date: Aug 8, 2007
Last Updated: Aug 8, 2007

Practice Location

Address: 135 N MAIN ST
City: Lake Mills
State: Wisconsin
ZIP Code: 53551-1609
Phone: (920) 648-2327

Authorized Official

Name: DAVID KRIEGE, DDS
Title: OWNER
Phone: (920) 648-2327

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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