Organization
PDC DENTISTRY S C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BJORN THOMPSON (OFFICE MANAGER)
(608) 326-8458
Entity
Organization
Contact information
Practice address
110 S OHIO ST, PRAIRIE DU CHIEN, WI 53821-1642
(608) 326-8458
Mailing address
110 S OHIO ST, PRAIRIE DU CHIEN, WI 53821-1642
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/27/2015
Last updated
10/12/2015
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