Organization
BLACK RIVER FAMILY DENTISTRY LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIZABETH A HERZBERG DDS (OWNER DOCTOR)
(715) 284-3100
Entity
Organization
Contact information
Practice address
N6625 COUNTY HWY A, BLACK RIVER FALLS, WI 54615
(715) 284-3100
(715) 284-8115
Mailing address
N6625 COUNTY HWY A, BLACK RIVER FALLS, WI 54615
(715) 284-3100
(715) 284-8115
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
S149015
WI
Other
Enumeration date
02/16/2007
Last updated
08/22/2020
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