| Veneman Dental Care, Woodville Wi | |
|
131 S Main St Woodville WI 54028-9545 | |
| (715) 483-9705 | |
| Not Available |
| Full Name | Veneman Dental Care, Woodville Wi |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 131 S Main St, Woodville, Wisconsin |
| Authorized Official Name and Position | Derrick Veneman (OWNER) |
| Authorized Official Contact | 6513033203 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Veneman Dental Care, Woodville Wi 131 S Main St Woodville WI 54028-9545 Ph: (715) 483-9705 | Veneman Dental Care, Woodville Wi 131 S Main St Woodville WI 54028-9545 Ph: (715) 483-9705 |
| NPI Number | 1043719602 |
|---|---|
| Provider Enumeration Date | 02/08/2018 |
| Last Update Date | 02/08/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043719602 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 3669 (Wisconsin) | Primary |