| Gentle Dental Care Sc | |
|
1813 Wilson St Menomonie WI 54751-1406 | |
| (715) 235-7566 | |
| (715) 235-7578 |
| Full Name | Gentle Dental Care Sc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1813 Wilson St, Menomonie, Wisconsin |
| Authorized Official Name and Position | Emily Andre (DR.) |
| Authorized Official Contact | 7152357566 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gentle Dental Care Sc 1813 Wilson St Menomonie WI 54751-1406 Ph: (715) 235-7566 | Gentle Dental Care Sc 1813 Wilson St Menomonie WI 54751-1406 Ph: (715) 235-7566 |
| NPI Number | 1215484423 |
|---|---|
| Provider Enumeration Date | 09/06/2016 |
| Last Update Date | 09/06/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215484423 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 6724-15 (Wisconsin) | Primary |
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