Organization
ASHLAND DENTAL CLINIC INC
Active
Other names
Carl A Hambuch Jr DDS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARL ADAM HAMBUCH JR. DDS (PRESIDENT)
(715) 682-2733
Entity
Organization
Contact information
Practice address
300 9TH AVE W, ASHLAND, WI 54806
(715) 682-2733
(715) 682-0226
Mailing address
300 9TH AVE W, ASHLAND, WI 54806
(715) 682-2733
(715) 682-0226
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1779G
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33366500
—
WI
Enumeration date
08/04/2006
Last updated
08/22/2020
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