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Organization

CAMERON DENTAL CLINIC LTD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAMES P COOLEY DDS (OFFICER OF CAMERON DENTAL CLINIC LT)
(715) 458-4470
Entity
Organization

Contact information

Practice address
902 MAIN ST, CAMERON, WI 54822-0360
(715) 458-4470
Mailing address
PO BOX 360, CAMERON, WI 54822-0360
(715) 458-4470

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2677-015
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
33423600
WI
Enumeration date
09/20/2006
Last updated
08/22/2020
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