| Hallquist Family Dental Llc | |
|
2163 W 9th Ave Oshkosh WI 54904-8043 | |
| (608) 833-2213 | |
| Not Available |
| Full Name | Hallquist Family Dental Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2163 W 9th Ave, Oshkosh, Wisconsin |
| Authorized Official Name and Position | Olga Grenova (DIR OF ACCOUNTING) |
| Authorized Official Contact | 6088332213 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hallquist Family Dental Llc 8025 Excelsior Dr Madison WI 53717-1900 Ph: () - | Hallquist Family Dental Llc 2163 W 9th Ave Oshkosh WI 54904-8043 Ph: (608) 833-2213 |
| NPI Number | 1578118329 |
|---|---|
| Provider Enumeration Date | 08/08/2019 |
| Last Update Date | 08/08/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578118329 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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