| Hallquist Dental, Llc | |
|
2163 W 9th Ave Oshkosh WI 54904-8043 | |
| (920) 235-6070 | |
| (920) 235-5668 |
| Full Name | Hallquist Dental, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2163 W 9th Ave, Oshkosh, Wisconsin |
| Authorized Official Name and Position | Thomas Hallquist (DENTIST) |
| Authorized Official Contact | 9202356070 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hallquist Dental, Llc 2163 W 9th Ave Oshkosh WI 54904-8043 Ph: (920) 235-6070 | Hallquist Dental, Llc 2163 W 9th Ave Oshkosh WI 54904-8043 Ph: (920) 235-6070 |
| NPI Number | 1790256428 |
|---|---|
| Provider Enumeration Date | 12/06/2018 |
| Last Update Date | 12/06/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790256428 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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