# LA PETITE DENTISTRY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467747303
- **Authorized official:** DR. ANDY MANCINI DMD, MBA (OWNER/PRESIDENT)
- **Authorized official phone:** (855) 527-3848

## Contact information

- **Practice address:** 131 CARMICHAEL RD STE 200, HUDSON, WI 54016-8271
- **Practice address phone:** (855) 527-3848
- **Practice address fax:** (855) 457-3329
- **Mailing address:** 131 CARMICHAEL RD STE 200, HUDSON, WI 54016-8271
- **Mailing address phone:** (855) 527-3848
- **Mailing address fax:** (855) 457-3329

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0221X | Pediatric Dentistry | 6499-015 | WI | Yes |

## Other

- **Enumeration date:** 06/17/2011
- **Last updated:** 06/17/2011