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Organization

LEIPNITZ DENTAL CLINIC, SC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TODD ALERON LEIPNITZ D.D.S. (PRESIDENT/OWNER)
(715) 235-7371
Entity
Organization

Contact information

Practice address
2521 BROADWAY ST S, MENOMONIE, WI 54751-3914
(715) 235-7371
(715) 235-7380
Mailing address
2521 BROADWAY ST S, MENOMONIE, WI 54751-3914
(715) 235-7371
(715) 235-7380

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
5165-015
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
33757000
WI
Enumeration date
09/26/2007
Last updated
09/26/2007
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