Organization
COULEE TECHLINK, INC
Active
Other names
Kids First Mobile Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
RODNEY A HOLUM JR. (CEO)
(608) 783-8324
Entity
Organization
Contact information
Practice address
1129 RIDERS CLUB RD, ONALASKA, WI 54650-2079
(608) 783-8324
Mailing address
1129 RIDERS CLUB RD, ONALASKA, WI 54650-2079
(608) 783-8324
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6381
KY
Other
Enumeration date
02/24/2012
Last updated
02/24/2012
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