| Ashleson Dental Care, Llc | |
|
104 E Oak St Glenwood City WI 54013-8582 | |
| (715) 265-4258 | |
| Not Available |
| Full Name | Ashleson Dental Care, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 104 E Oak St, Glenwood City, Wisconsin |
| Authorized Official Name and Position | Rochelle Ashleson (OWNER/DENTIST) |
| Authorized Official Contact | 7156889619 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ashleson Dental Care, Llc Po Box 35 Glenwood City WI 54013-0035 Ph: (715) 265-4258 | Ashleson Dental Care, Llc 104 E Oak St Glenwood City WI 54013-8582 Ph: (715) 265-4258 |
| NPI Number | 1215467576 |
|---|---|
| Provider Enumeration Date | 06/19/2017 |
| Last Update Date | 06/19/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215467576 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 1001600-15 (Wisconsin) | Primary |