Hauge Dental Clinic | |
601 State Road 35 Centuria WI 54824-9014 | |
(715) 646-2161 | |
(715) 646-2023 |
Full Name | Hauge Dental Clinic |
---|---|
Speciality | Clinic/center - Dental |
Location | 601 State Road 35, Centuria, Wisconsin |
Authorized Official Name and Position | Georgeann C Vargas (OWNER) |
Authorized Official Contact | 7156462161 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Hauge Dental Clinic 601 State Road 35 Po Box 459 Centuria WI 54824-9014 Ph: (715) 646-2161 | Hauge Dental Clinic 601 State Road 35 Centuria WI 54824-9014 Ph: (715) 646-2161 |
NPI Number | 1396104097 |
---|---|
Provider Enumeration Date | 02/23/2016 |
Last Update Date | 02/23/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396104097 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 1001112 (Wisconsin) | Primary |
Paul A. Hauge, Dds, Ltd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 601 6th St Hwy 35, Centuria, WI 54824 Phone: 715-646-2161 Fax: 715-646-2023 |