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Organization

ST. CROIX TRIBAL COUNCIL

Active
Other names
St. Croix Tribal Dental
Organization subpart
No

Provider details

NPI number
Authorized official
AMBER HEINZ (HEALTH DIRECTOR)
(715) 349-8554
Entity
Organization

Contact information

Practice address
4404 STATE ROAD 70, WEBSTER, WI 54893-9251
(715) 349-8554
Mailing address
4404 STATE ROAD 70, WEBSTER, WI 54893-9251
(715) 349-8554

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
05/25/2007
Last updated
10/15/2024
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