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Organization
VENEMAN DENTAL CARE, LLC
Active
Organization
VENEMAN DENTAL CARE, LLC
Active
Other names
Veneman Dental Care, Woodville WI
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DERRICK VENEMAN DDS (OWNER)
(651) 303-3203
Entity
Organization
Contact information
Practice address
131 S MAIN ST, WOODVILLE, WI 54028-9545
(715) 483-9705
Mailing address
131 S MAIN ST, WOODVILLE, WI 54028-9545
(715) 483-9705
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
3669
WI
Other
Enumeration date
02/08/2018
Last updated
02/08/2018
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