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Organization
LEIPNITZ DENTAL CLINIC, SC
Active
Organization
LEIPNITZ DENTAL CLINIC, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TODD ALERON LEIPNITZ D.D.S. (PRESIDENT/OWNER)
(715) 235-7371
Entity
Organization
Contact information
Practice address
2521 BROADWAY ST S, MENOMONIE, WI 54751-3914
(715) 235-7371
(715) 235-7380
Mailing address
2521 BROADWAY ST S, MENOMONIE, WI 54751-3914
(715) 235-7371
(715) 235-7380
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
5165-015
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33757000
—
WI
Enumeration date
09/26/2007
Last updated
09/26/2007
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