Organization
NORTHWOODS DENTISTRY, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER STAROBA (OFFICE MANAGER)
(715) 339-3021
Entity
Organization
Contact information
Practice address
605 PETERSON DR, PHILLIPS, WI 54555-1430
(715) 339-3021
(715) 339-3022
Mailing address
PO BOX 10, PHILLIPS, WI 54555-0010
(715) 339-3021
(715) 339-3022
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6619
WI
Other
Enumeration date
05/30/2013
Last updated
05/30/2013
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