Dhcsc | |
202 W Prospect St Thorp WI 54771-9303 | |
(715) 669-5620 | |
Not Available |
Full Name | Dhcsc |
---|---|
Speciality | Dentist |
Location | 202 W Prospect St, Thorp, Wisconsin |
Authorized Official Name and Position | John Tessendorf (OWNER) |
Authorized Official Contact | 7158323100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Dhcsc Po Box 305 Thorp WI 54771-0305 Ph: () - | Dhcsc 202 W Prospect St Thorp WI 54771-9303 Ph: (715) 669-5620 |
NPI Number | 1336581875 |
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Provider Enumeration Date | 07/25/2013 |
Last Update Date | 07/25/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336581875 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
Thorp Dental Center, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 109 W Prospect St, Thorp, WI 54771 Phone: 715-669-5330 | |
Mennonite Dental Clinic Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: W8180 County Road X, Thorp, WI 54771 Phone: 715-669-3790 |