Individual
DONALD ROY TORGERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
207 E SOUTH ST, RICE LAKE, WI 54868-3019
(715) 234-3511
(715) 736-0716
Mailing address
207 E SOUTH ST, RICE LAKE, WI 54868-3019
(715) 234-3511
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5001430G015
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33655000
—
WI
Enumeration date
03/28/2007
Last updated
07/08/2007
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