| Siren Dental Clinic | |
|
24164 Highway 35-70 Siren WI 54872 | |
| (715) 349-2297 | |
| (715) 349-2298 |
| Full Name | Siren Dental Clinic |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 24164 Highway 35-70, Siren, Wisconsin |
| Authorized Official Name and Position | Jon E Cruz (MEMBER) |
| Authorized Official Contact | 7153492297 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Siren Dental Clinic Po Box 269 Siren WI 54872-0269 Ph: (715) 349-2297 | Siren Dental Clinic 24164 Highway 35-70 Siren WI 54872 Ph: (715) 349-2297 |
| NPI Number | 1285760751 |
|---|---|
| Provider Enumeration Date | 02/26/2007 |
| Last Update Date | 03/09/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285760751 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |