| Black River Family Dentistry Ltd | |
|
N6625 County Hwy A Black River Falls WI 54615 | |
| (715) 284-3100 | |
| (715) 284-8115 |
| Full Name | Black River Family Dentistry Ltd |
|---|---|
| Speciality | Dentist |
| Location | N6625 County Hwy A, Black River Falls, Wisconsin |
| Authorized Official Name and Position | Elizabeth A Herzberg (OWNER DOCTOR) |
| Authorized Official Contact | 7152843100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Black River Family Dentistry Ltd N6625 County Hwy A Black River Falls WI 54615 Ph: (715) 284-3100 | Black River Family Dentistry Ltd N6625 County Hwy A Black River Falls WI 54615 Ph: (715) 284-3100 |
| NPI Number | 1285778969 |
|---|---|
| Provider Enumeration Date | 02/16/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285778969 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | S149015 (Wisconsin) | Primary |
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 | |
Black River Falls Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: N6625 County Road A, Black River Falls, WI 54615 Phone: 715-284-3100 |