| Christine Liesen John J Pinzl Dds Sc | |
|
240 Oak Street Woodruff WI 54568 | |
| (715) 356-3474 | |
| (715) 358-5145 |
| Full Name | Christine Liesen John J Pinzl Dds Sc |
|---|---|
| Speciality | Dentist |
| Location | 240 Oak Street, Woodruff, Wisconsin |
| Authorized Official Name and Position | John J Pinzl (PRESIDENT) |
| Authorized Official Contact | 7153563474 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Christine Liesen John J Pinzl Dds Sc Po Box 260 Woodruff WI 54568-0260 Ph: (715) 356-3474 | Christine Liesen John J Pinzl Dds Sc 240 Oak Street Woodruff WI 54568 Ph: (715) 356-3474 |
| NPI Number | 1295098523 |
|---|---|
| Provider Enumeration Date | 06/21/2012 |
| Last Update Date | 06/21/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295098523 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 3925 (Wisconsin) | Secondary |
| 122300000X | Dentist | 3843 (Wisconsin) | Primary |
Ideal Dental Inc. Dental Clinic Medicare: Medicare Enrolled Practice Location: 1025 3rd Ave, Woodruff, WI 54568 Phone: 715-356-2777 | |
Northwoods Dentistry Woodruff Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 Maple St, Woodruff, WI 54568 Phone: 715-356-6339 | |
Liesen Pinzl Kessinger Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 240 Oak St, Woodruff, WI 54568 Phone: 715-356-3474 |