Organization
HOMESTEAD DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MEGAN WOLFINGER DDS (DENTIST/OWNER)
(920) 858-6907
Entity
Organization
Contact information
Practice address
1580 W. AMERICAN DRIVE, NEENAH, WI 54956-5494
(920) 858-6907
Mailing address
N1881 SAVANNAH DR, GREENVILLE, WI 54942-8597
(920) 858-6907
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1730613555
—
WI
Enumeration date
10/03/2023
Last updated
10/03/2023
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