| Richland Family Dental, Llc | |
|
1313 W Seminary St Ste 200 Richland Center WI 53581-2067 | |
| (608) 649-3222 | |
| Not Available |
| Full Name | Richland Family Dental, Llc |
|---|---|
| Speciality | Dentist |
| Location | 1313 W Seminary St Ste 200, Richland Center, Wisconsin |
| Authorized Official Name and Position | Terrence Moen (OWNER) |
| Authorized Official Contact | 6086473222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richland Family Dental, Llc 1313 W Seminary St Ste 200 Richland Center WI 53581-2067 Ph: (608) 649-3222 | Richland Family Dental, Llc 1313 W Seminary St Ste 200 Richland Center WI 53581-2067 Ph: (608) 649-3222 |
| NPI Number | 1609039122 |
|---|---|
| Provider Enumeration Date | 07/03/2008 |
| Last Update Date | 07/03/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609039122 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 6287-15 (Wisconsin) | Primary |
Williams & Pearce Family Dental Sc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 N Church St, Richland Center, WI 53581 Phone: 608-647-3993 Fax: 608-647-7327 |