Organization
RIVERSIDE DENTAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELESE MCCLARIE DMD (DENTIST)
(303) 994-1456
Entity
Organization
Contact information
Practice address
1805 E MAIN ST, LITTLE CHUTE, WI 54140-2455
(303) 994-1456
Mailing address
1805 E MAIN ST, LITTLE CHUTE, WI 54140-2455
(920) 423-9131
(920) 423-9132
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/11/2023
Last updated
02/11/2025
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