Spring Valley Dentistry Inc. | |
W124 S 2nd St Spring Valley WI 54767 | |
(715) 778-5543 | |
Not Available |
Full Name | Spring Valley Dentistry Inc. |
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Speciality | Dentist |
Location | W124 S 2nd St, Spring Valley, Wisconsin |
Authorized Official Name and Position | Daniel Connors (OWNER/DENTIST) |
Authorized Official Contact | 7157785543 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Spring Valley Dentistry Inc. Po Box 190 Spring Valley WI 54767 Ph: (715) 778-5543 | Spring Valley Dentistry Inc. W124 S 2nd St Spring Valley WI 54767 Ph: (715) 778-5543 |
NPI Number | 1902333941 |
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Provider Enumeration Date | 05/22/2017 |
Last Update Date | 05/22/2017 |
Identifier | Type | State | Issuer |
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1902333941 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | 6014-015 (Wisconsin) | Primary |
122300000X | Dentist | 5206-015 (Wisconsin) | Secondary |