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Organization
AREA DENTAL ASSOCIATES, LLC
Active
Organization
AREA DENTAL ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARA STROHBUSCH (OPERATIONS MANAGER)
(920) 285-7441
Entity
Organization
Contact information
Practice address
1149 BOUGHTON ST BLDG B, WATERTOWN, WI 53094-3104
(920) 261-0495
(920) 261-3632
Mailing address
1149 BOUGHTON ST BLDG B, WATERTOWN, WI 53094-3104
(920) 261-0495
(920) 261-3632
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1013220516
NPI
—
01
—
1225659352
NPI
—
01
—
1427293620
NPI
—
01
—
1467509430
NPI
—
01
—
1619077583
NPI
—
Enumeration date
03/30/2021
Last updated
04/05/2021
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