Luck Dental Clinic, Inc. | |
308 N 1st St Luck WI 54853-9087 | |
(715) 472-2211 | |
Not Available |
Full Name | Luck Dental Clinic, Inc. |
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Speciality | Dentist - General Practice |
Location | 308 N 1st St, Luck, Wisconsin |
Authorized Official Name and Position | Dann R Rowe (OWNER) |
Authorized Official Contact | 7154722211 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Luck Dental Clinic, Inc. 308 N 1st St Po Box 550 Luck WI 54853-9087 Ph: (715) 472-2211 | Luck Dental Clinic, Inc. 308 N 1st St Luck WI 54853-9087 Ph: (715) 472-2211 |
NPI Number | 1235392390 |
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Provider Enumeration Date | 07/08/2008 |
Last Update Date | 07/08/2008 |
Identifier | Type | State | Issuer |
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1235392390 | NPI | - | NPPES |
33571700 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | 5001223 (Wisconsin) | Primary |