Organization
RIVERHILL DENTAL ASSOCIATES SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JOANN C LASKY (ADMINISTRATOR)
(715) 421-1515
Entity
Organization
Contact information
Practice address
406 DALY AVE, WISCONSIN RAPIDS, WI 54494-4744
(715) 421-1515
(715) 423-8552
Mailing address
406 DALY AVE, WISCONSIN RAPIDS, WI 54494-4744
(715) 421-1515
(715) 423-8552
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
1070G
WI
1223G0001X
General Practice Dentistry
1389
WI
1223G0001X
General Practice Dentistry
2958
WI
1223G0001X
General Practice Dentistry
Primary
3432
WI
1223G0001X
General Practice Dentistry
4111
WI
Other
Enumeration date
06/18/2007
Last updated
08/22/2020
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