| Cedar Creek Dental Wi, S.c. | |
|
1851 County Road Xx Mosinee WI 54455-7933 | |
| (715) 359-0550 | |
| Not Available |
| Full Name | Cedar Creek Dental Wi, S.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1851 County Road Xx, Mosinee, Wisconsin |
| Authorized Official Name and Position | David P Barr (PRESIDENT) |
| Authorized Official Contact | 7153590550 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cedar Creek Dental Wi, S.c. 1851 County Road Xx Mosinee WI 54455-7933 Ph: (715) 359-0550 | Cedar Creek Dental Wi, S.c. 1851 County Road Xx Mosinee WI 54455-7933 Ph: (715) 359-0550 |
| NPI Number | 1447279625 |
|---|---|
| Provider Enumeration Date | 07/19/2006 |
| Last Update Date | 01/16/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447279625 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 0003272015 (Wisconsin) | Primary |
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