| Denturesmart Denture Service Llc | |
|
605 2nd Ave S Ste 130 Onalaska WI 54650-3388 | |
| (608) 519-3946 | |
| (608) 519-3947 |
| Full Name | Denturesmart Denture Service Llc |
|---|---|
| Speciality | Dental Laboratory Technician |
| Location | 605 2nd Ave S, Onalaska, Wisconsin |
| Authorized Official Name and Position | Scott William Cortopassi (OWNER) |
| Authorized Official Contact | 6085193946 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Denturesmart Denture Service Llc 605 2nd Ave S Suite 130 Onalaska WI 54650-3388 Ph: (608) 519-3946 | Denturesmart Denture Service Llc 605 2nd Ave S Ste 130 Onalaska WI 54650-3388 Ph: (608) 519-3946 |
| NPI Number | 1417345307 |
|---|---|
| Provider Enumeration Date | 12/31/2014 |
| Last Update Date | 01/09/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417345307 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 126900000X | Dental Laboratory Technician | (* (Not Available)) | Primary |
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