Organization
KLOEK DENTISTRY LLC
Active
Other names
Green Valley Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL KLOEK DDS (OWNER)
(715) 635-7888
Entity
Organization
Contact information
Practice address
W7154 GREEN VALLEY RD, SPOONER, WI 54801-8651
(715) 635-7888
Mailing address
W7154 GREEN VALLEY RD, SPOONER, WI 54801-8651
(715) 635-7888
(715) 635-6313
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/17/2020
Last updated
11/17/2020
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