| Crystal River Dental, Llc | |
|
400 School St Waupaca WI 54981-1626 | |
| (616) 450-9270 | |
| Not Available |
| Full Name | Crystal River Dental, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 400 School St, Waupaca, Wisconsin |
| Authorized Official Name and Position | Kelly A Bellinger (OPERATIONS MANAGER) |
| Authorized Official Contact | 6164509270 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crystal River Dental, Llc 400 School St Waupaca WI 54981-1626 Ph: (616) 450-9270 | Crystal River Dental, Llc 400 School St Waupaca WI 54981-1626 Ph: (616) 450-9270 |
| NPI Number | 1255940227 |
|---|---|
| Provider Enumeration Date | 07/27/2020 |
| Last Update Date | 07/27/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255940227 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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