Organization
DENTAL HEALTH, INC.
Active
Other names
Park Avenue Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK MICHAEL SNYDER (PRESIDENT)
(715) 723-0366
Entity
Organization
Contact information
Practice address
777 E PARK AVE, CHIPPEWA FALLS, WI 54729-3508
(715) 723-0366
(715) 723-4635
Mailing address
777 E PARK AVE, CHIPPEWA FALLS, WI 54729-3508
(715) 723-0366
(715) 723-4635
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5001705
WI
Other
Enumeration date
08/05/2006
Last updated
06/12/2008
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