| Hawksford-larson Dental Care, LLC | |
|
15541w Highway 77 E Hayward WI 54843 | |
| (715) 634-6776 | |
| (715) 634-5859 |
| Full Name | Hawksford-larson Dental Care, LLC |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 15541w Highway 77 E, Hayward, Wisconsin |
| Authorized Official Name and Position | Kay E Hawksford (OWNER) |
| Authorized Official Contact | 7156346776 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hawksford-larson Dental Care, LLC Po Box 767 15541 Highway 77e Hayward WI 54843 Ph: (715) 634-6776 | Hawksford-larson Dental Care, LLC 15541w Highway 77 E Hayward WI 54843 Ph: (715) 634-6776 |
| NPI Number | 1700954047 |
|---|---|
| Provider Enumeration Date | 12/04/2006 |
| Last Update Date | 09/20/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700954047 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | () | Primary |
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Hawksford Dental Care, LLC Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 15541 W Hwy 77 E, Hayward, WI 54843 Phone: 715-634-6776 Fax: 715-634-5859 |
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