Organization
OCONTO DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD HEHLI DDS (OWNER)
(715) 833-8755
Entity
Organization
Contact information
Practice address
1210 PECOR ST, OCONTO, WI 54153-1768
(920) 834-5737
Mailing address
4607 ROYAL DR, EAU CLAIRE, WI 54701-2928
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/30/2018
Last updated
04/30/2018
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