Organization
VENEMAN DENTAL CARE, LLC
Active
Other names
Veneman Dental Care, Woodville WI
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DERRICK VENEMAN DDS (OWNER)
(651) 303-3203
Entity
Organization
Contact information
Practice address
131 S MAIN ST, WOODVILLE, WI 54028-9545
(715) 483-9705
Mailing address
131 S MAIN ST, WOODVILLE, WI 54028-9545
(715) 483-9705
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
3669
WI
Other
Enumeration date
02/08/2018
Last updated
02/08/2018
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