Organization
SHOOK FAMILY DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN SHOOK DMD (MEMBER)
(715) 563-3720
Entity
Organization
Contact information
Practice address
3838 TALMADGE RD, EAU CLAIRE, WI 54701
(715) 563-3720
Mailing address
3729 FOREST HEIGHTS DR, EAU CLAIRE, WI 54701-8079
(715) 563-3720
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/06/2021
Last updated
05/06/2021
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