Kids First Mobile Dentistry | |
1129 Riders Club Rd Onalaska WI 54650-2079 | |
(608) 783-8324 | |
Not Available |
Full Name | Kids First Mobile Dentistry |
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Speciality | Dentist |
Location | 1129 Riders Club Rd, Onalaska, Wisconsin |
Authorized Official Name and Position | Rodney A Holum (CEO) |
Authorized Official Contact | 6087838324 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Kids First Mobile Dentistry 1129 Riders Club Rd Onalaska WI 54650-2079 Ph: (608) 783-8324 | Kids First Mobile Dentistry 1129 Riders Club Rd Onalaska WI 54650-2079 Ph: (608) 783-8324 |
NPI Number | 1245504166 |
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Provider Enumeration Date | 02/24/2012 |
Last Update Date | 02/24/2012 |
Identifier | Type | State | Issuer |
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1245504166 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | 6381 (Kentucky) | Primary |
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