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Organization
MERCER DENTAL LLC
Active
Organization
MERCER DENTAL LLC
Active
Other names
Rasmussen Dental LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DEREK RASMUSSEN (MANAGER)
(715) 439-5365
Entity
Organization
Contact information
Practice address
5222 HWY 51 N, MERCER, WI 54547
(715) 476-3432
Mailing address
8796 BRUNSWICK RD, MINOCQUA, WI 54548-9346
(715) 439-5365
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/09/2019
Last updated
04/25/2019
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