Organization
GENTLE DENTAL CARE SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY ANDRE DMD (DR.)
(715) 235-7566
Entity
Organization
Contact information
Practice address
1813 WILSON ST, MENOMONIE, WI 54751-1406
(715) 235-7566
(715) 235-7578
Mailing address
1813 WILSON ST, MENOMONIE, WI 54751-1406
(715) 235-7566
(715) 235-7578
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6724-15
WI
Other
Enumeration date
09/06/2016
Last updated
09/06/2016
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