Organization
ACACIA LANE DENTAL - RHINELANDER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GENIE KUBLE (DIRECTOR OF OPERATIONS)
(715) 833-8755
Entity
Organization
Contact information
Practice address
664 ACACIA LN, RHINELANDER, WI 54501-2873
(715) 365-8664
Mailing address
935 NICOLET AVE, OSHKOSH, WI 54901-1633
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/26/2019
Last updated
12/26/2019
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