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Organization
HIGHLAND LAKES ORAL SURGERY LLC
Active
Organization
HIGHLAND LAKES ORAL SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NATALIE MARQUARDT (PRACTICE MANAGER)
(715) 365-1777
Entity
Organization
Contact information
Practice address
550 E TIMBER DR STOP 4, RHINELANDER, WI 54501-2894
(715) 420-0999
Mailing address
550 E TIMBER DR STOP 4, RHINELANDER, WI 54501-2894
(715) 420-0999
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
04/08/2024
Last updated
04/08/2024
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