| Downtown Dental, S.c. | |
|
114 Cascade St. Osceola WI 54020-0387 | |
| (715) 294-2334 | |
| (715) 294-2220 |
| Full Name | Downtown Dental, S.c. |
|---|---|
| Speciality | Dentist |
| Location | 114 Cascade St., Osceola, Wisconsin |
| Authorized Official Name and Position | Richard Leslie Hafdahl (PRESIDENT) |
| Authorized Official Contact | 7152942334 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Downtown Dental, S.c. 114 Cascade St. Osceola WI 54020-0387 Ph: (715) 294-2334 | Downtown Dental, S.c. 114 Cascade St. Osceola WI 54020-0387 Ph: (715) 294-2334 |
| NPI Number | 1639279433 |
|---|---|
| Provider Enumeration Date | 09/22/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639279433 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 5001118 (Wisconsin) | Primary |
Shoreview Family Dental Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 215 North Cascade St, Osceola, WI 54020 Phone: 715-294-3303 | |
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