| Ralph H Horsens Dds Sc | |
|
115 Alpine Court Shawano WI 54166-2511 | |
| (715) 524-4935 | |
| (715) 524-4943 |
| Full Name | Ralph H Horsens Dds Sc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 115 Alpine Court, Shawano, Wisconsin |
| Authorized Official Name and Position | Ralph Lee Horsens (PRESIDENT) |
| Authorized Official Contact | 7155244935 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ralph H Horsens Dds Sc 115 Alpine Court Shawano WI 54166-2511 Ph: (715) 524-4935 | Ralph H Horsens Dds Sc 115 Alpine Court Shawano WI 54166-2511 Ph: (715) 524-4935 |
| NPI Number | 1619094919 |
|---|---|
| Provider Enumeration Date | 03/23/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619094919 | NPI | - | NPPES |
| 33352900 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5001466015 (Wisconsin) | Primary |
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