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Organization

SCENIC RIVER DENTAL LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOE LINDBERG DMD (OWNER)
(715) 483-3570
Entity
Organization

Contact information

Practice address
117 N WASHINGTON ST, SAINT CROIX FALLS, WI 54024-2200
(715) 483-3570
Mailing address
117 N WASHINGTON ST, SAINT CROIX FALLS, WI 54024-2200
(715) 483-3570

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1023529021
NPI
Enumeration date
04/11/2019
Last updated
04/11/2019
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