| Hixon Hills Dental, Llc | |
|
1800 State Road 16 La Crosse WI 54601-3011 | |
| (608) 782-9667 | |
| Not Available |
| Full Name | Hixon Hills Dental, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1800 State Road 16, La Crosse, Wisconsin |
| Authorized Official Name and Position | Torey Vande Walle (OWNER) |
| Authorized Official Contact | 6087829667 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hixon Hills Dental, Llc 1800 State Road 16 La Crosse WI 54601-3011 Ph: (608) 782-9667 | Hixon Hills Dental, Llc 1800 State Road 16 La Crosse WI 54601-3011 Ph: (608) 782-9667 |
| NPI Number | 1659961670 |
|---|---|
| Provider Enumeration Date | 01/23/2021 |
| Last Update Date | 01/23/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659961670 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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