| Twin Ports Dental | |
|
1507 Tower Ave Room 427 Superior WI 54880-2532 | |
| (715) 394-5792 | |
| Not Available |
| Full Name | Twin Ports Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1507 Tower Ave, Superior, Wisconsin |
| Authorized Official Name and Position | Genie Kuble (CONTACT OFFICER) |
| Authorized Official Contact | 9204500157 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Twin Ports Dental 1507 Tower Ave Room 427 Superior WI 54880-2532 Ph: () - | Twin Ports Dental 1507 Tower Ave Room 427 Superior WI 54880-2532 Ph: (715) 394-5792 |
| NPI Number | 1114230968 |
|---|---|
| Provider Enumeration Date | 07/22/2010 |
| Last Update Date | 07/22/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114230968 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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