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Organization
SOUTHWESTERN WISCONSIN COMMUNITY ACTION PROGRAM
Active
Organization
SOUTHWESTERN WISCONSIN COMMUNITY ACTION PROGRAM
Active
Other names
Dental Hygiene Services and Dental Referral
Organization subpart
No
Provider details
NPI number
Authorized official
WALTER ORZECHOWSKI MSPH, MBA (EXECUTIVE DIRECTOR)
(608) 935-2326
Entity
Organization
Contact information
Practice address
275 W MAIN ST, PLATTEVILLE, WI 53818-3110
(608) 348-9766
(608) 348-3915
Mailing address
275 W MAIN ST, PLATTEVILLE, WI 53818-3110
(608) 348-9766
(608) 348-3915
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
139651030
WI
251K00000X
Public Health or Welfare Agency
Primary
4521016
WI
Other
Enumeration date
04/02/2009
Last updated
04/02/2009
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