| Red Cedar Dentisry Llc | |
|
2409 Hils Ct Menomonie WI 54751-1141 | |
| (715) 309-2999 | |
| (715) 309-2983 |
| Full Name | Red Cedar Dentisry Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2409 Hils Ct, Menomonie, Wisconsin |
| Authorized Official Name and Position | Jennifer Hastings (DENTIST/OWNER) |
| Authorized Official Contact | 7153092999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Red Cedar Dentisry Llc 2409 Hils Ct Menomonie WI 54751-1141 Ph: (715) 309-2999 | Red Cedar Dentisry Llc 2409 Hils Ct Menomonie WI 54751-1141 Ph: (715) 309-2999 |
| NPI Number | 1962910810 |
|---|---|
| Provider Enumeration Date | 01/12/2018 |
| Last Update Date | 01/12/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962910810 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 7263-15 (Wisconsin) | Primary |
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