Cameron Dental Clinic Ltd | |
902 Main St Cameron WI 54822-0360 | |
(715) 458-4470 | |
Not Available |
Full Name | Cameron Dental Clinic Ltd |
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Speciality | Dentist |
Location | 902 Main St, Cameron, Wisconsin |
Authorized Official Name and Position | James P Cooley (OFFICER OF CAMERON DENTAL CLINIC LT) |
Authorized Official Contact | 7154584470 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Cameron Dental Clinic Ltd Po Box 360 Cameron WI 54822-0360 Ph: (715) 458-4470 | Cameron Dental Clinic Ltd 902 Main St Cameron WI 54822-0360 Ph: (715) 458-4470 |
NPI Number | 1174620330 |
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Provider Enumeration Date | 09/20/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1174620330 | NPI | - | NPPES |
33423600 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | 2677-015 (Wisconsin) | Primary |