| Black River Falls Dental Llc | |
|
N6625 County Road A Black River Falls WI 54615-5852 | |
| (715) 284-3100 | |
| Not Available |
| Full Name | Black River Falls Dental Llc |
|---|---|
| Speciality | Dentist |
| Location | N6625 County Road A, Black River Falls, Wisconsin |
| Authorized Official Name and Position | Mitch Weiland (SENIOR ACCOUNTANT) |
| Authorized Official Contact | 6083430818 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Black River Falls Dental Llc N6625 County Road A Black River Falls WI 54615-5852 Ph: (715) 284-3100 | Black River Falls Dental Llc N6625 County Road A Black River Falls WI 54615-5852 Ph: (715) 284-3100 |
| NPI Number | 1790393270 |
|---|---|
| Provider Enumeration Date | 07/21/2020 |
| Last Update Date | 07/21/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790393270 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
Black River Family Dentistry Ltd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: N6625 County Hwy A, Black River Falls, WI 54615 Phone: 715-284-3100 Fax: 715-284-8115 | |
Community Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 716 W Adams St, Black River Falls, WI 54615 Phone: 715-284-9409 Fax: 715-284-9167 |