Organization
LUCK DENTAL CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANN R ROWE DDS (OWNER)
(715) 472-2211
Entity
Organization
Contact information
Practice address
308 N 1ST ST, LUCK, WI 54853-9087
(715) 472-2211
Mailing address
308 N 1ST ST, PO BOX 550, LUCK, WI 54853-9087
(715) 472-2211
(715) 472-4485
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5001223
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33571700
—
WI
Enumeration date
07/08/2008
Last updated
07/08/2008
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