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Organization
OAK PARK DENTAL CLINIC
Active
Organization
OAK PARK DENTAL CLINIC
Active
Other names
Siren Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JON E CRUZ D.D.S. (MEMBER)
(715) 349-2297
Entity
Organization
Contact information
Practice address
24164 HIGHWAY 35-70, SIREN, WI 54872
(715) 349-2297
(715) 349-2298
Mailing address
PO BOX 269, SIREN, WI 54872-0269
(715) 349-2297
(715) 349-2298
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/26/2007
Last updated
03/09/2011
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