| John H Betz Dds Sc | |
|
615 10th St S La Crosse WI 54601 | |
| (608) 782-4054 | |
| (608) 782-4054 |
| Full Name | John H Betz Dds Sc |
|---|---|
| Speciality | Dentist |
| Location | 615 10th St S, La Crosse, Wisconsin |
| Authorized Official Name and Position | John H Betz (SC PRES) |
| Authorized Official Contact | 6087824054 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John H Betz Dds Sc 615 10th St S La Crosse WI 54601 Ph: (608) 782-4054 | John H Betz Dds Sc 615 10th St S La Crosse WI 54601 Ph: (608) 782-4054 |
| NPI Number | 1295725638 |
|---|---|
| Provider Enumeration Date | 10/26/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295725638 | NPI | - | NPPES |
| 0945873 | Other | IA | IOWA MEDICAL ASSISTANCE |
| 33563700 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 5000873 (Wisconsin) | Primary |
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