| Periodontal Center | |
|
1610 Maxwell Dr Hudson WI 54016-8709 | |
| (715) 690-3050 | |
| Not Available |
| Full Name | Periodontal Center |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 1610 Maxwell Dr, Hudson, Wisconsin |
| Authorized Official Name and Position | Patty Barnard (BUSINESS MANAGER) |
| Authorized Official Contact | 6512332140 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Periodontal Center 8401 Seasons Pkwy Woodbury MN 55125-3414 Ph: () - | Periodontal Center 1610 Maxwell Dr Hudson WI 54016-8709 Ph: (715) 690-3050 |
| NPI Number | 1497348239 |
|---|---|
| Provider Enumeration Date | 02/12/2021 |
| Last Update Date | 02/12/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497348239 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
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