Organization
WISCONSIN DENTAL HEALTH, LLC
Active
Other names
Thousand Oaks Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
VIVIENNE ZHANG DDS (OWNER)
(608) 237-1920
Entity
Organization
Contact information
Practice address
390 S. GRAND AVE, SUITE#110, SUN PRAIRIE, WI 53590
(608) 237-1920
Mailing address
390 S. GRAND AVE, SUITE#110, SUN PRAIRIE, WI 53590
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
12/21/2017
Last updated
12/21/2017
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