| Deer Creek Dental Clinic, Ltd | |
|
820 N Superior Ave Tomah WI 54660-1120 | |
| (608) 372-5000 | |
| Not Available |
| Full Name | Deer Creek Dental Clinic, Ltd |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 820 N Superior Ave, Tomah, Wisconsin |
| Authorized Official Name and Position | Katherine E Konze (OFFICE ADMINISTRATOR) |
| Authorized Official Contact | 6083725000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Deer Creek Dental Clinic, Ltd 820 N Superior Ave Tomah WI 54660-1120 Ph: (608) 372-5000 | Deer Creek Dental Clinic, Ltd 820 N Superior Ave Tomah WI 54660-1120 Ph: (608) 372-5000 |
| NPI Number | 1700110574 |
|---|---|
| Provider Enumeration Date | 09/28/2009 |
| Last Update Date | 03/13/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700110574 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 3857 (Wisconsin) | Primary |
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