| Lumen Oral Holdings, Llc | |
|
501 W Mulberry St Baraboo WI 53913-1137 | |
| (608) 356-3838 | |
| Not Available |
| Full Name | Lumen Oral Holdings, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 501 W Mulberry St, Baraboo, Wisconsin |
| Authorized Official Name and Position | Shaina Zhao (DENTIST) |
| Authorized Official Contact | 6083563838 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lumen Oral Holdings, Llc 501 W Mulberry St Baraboo WI 53913-1137 Ph: () - | Lumen Oral Holdings, Llc 501 W Mulberry St Baraboo WI 53913-1137 Ph: (608) 356-3838 |
| NPI Number | 1346190584 |
|---|---|
| Provider Enumeration Date | 01/28/2026 |
| Last Update Date | 02/08/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346190584 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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