Organization
MINERAL POINT FAMILY DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GENIE KUBLE (CONTACT OFFICER)
(920) 450-0157
Entity
Organization
Contact information
Practice address
1279 BUSINESS PARK RD, MINERAL POINT, WI 53565-9295
(608) 987-3662
(608) 987-3859
Mailing address
1279 BUSINESS PARK RD, MINERAL POINT, WI 53565-9295
(608) 987-3662
(608) 987-3859
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/20/2006
Last updated
07/10/2012
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