| Gremban & Gremban Dental S.c. | |
|
865 N Railroad St Eagle River WI 54521-8834 | |
| (715) 479-6100 | |
| (715) 477-2162 |
| Full Name | Gremban & Gremban Dental S.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 865 N Railroad St, Eagle River, Wisconsin |
| Authorized Official Name and Position | Darrin J. Gremban (PRESIDENT) |
| Authorized Official Contact | 7154796100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gremban & Gremban Dental S.c. 865 N Railroad St Eagle River WI 54521-8834 Ph: (715) 479-6100 | Gremban & Gremban Dental S.c. 865 N Railroad St Eagle River WI 54521-8834 Ph: (715) 479-6100 |
| NPI Number | 1518053669 |
|---|---|
| Provider Enumeration Date | 10/05/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518053669 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4901 (Wisconsin) | Secondary |
| 1223G0001X | Dentist - General Practice | 5242-015 (Wisconsin) | Primary |
Northwoods Dental Sleep Therapy Inc Dental Clinic Medicare: Medicare Enrolled Practice Location: 865 N Railroad St, Eagle River, WI 54521 Phone: 715-479-6100 | |
Potrykus Family Dentistry Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 213 N Railroad St, Eagle River, WI 54521 Phone: 715-479-4686 Fax: 715-479-5281 |