| Northwoods Dentistry, Rice Lake Llc | |
|
115 E Thomas St Rice Lake WI 54868-3055 | |
| (715) 234-4636 | |
| (715) 234-2982 |
| Full Name | Northwoods Dentistry, Rice Lake Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 115 E Thomas St, Rice Lake, Wisconsin |
| Authorized Official Name and Position | Jennifer Staroba (PRACTICE MANAGER) |
| Authorized Official Contact | 7154282421 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwoods Dentistry, Rice Lake Llc Po Box 27 Prentice WI 54556-0027 Ph: (715) 428-2422 | Northwoods Dentistry, Rice Lake Llc 115 E Thomas St Rice Lake WI 54868-3055 Ph: (715) 234-4636 |
| NPI Number | 1336624659 |
|---|---|
| Provider Enumeration Date | 10/02/2018 |
| Last Update Date | 10/02/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336624659 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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