Organization
DHCSC
Active
Parent organization
DHCSC
Organization subpart
Yes
Provider details
NPI number
Legal business name
DHCSC
Authorized official
JOHN TESSENDORF DDS (OWNER)
(715) 832-3100
Entity
Organization
Contact information
Practice address
202 W PROSPECT ST, THORP, WI 54771-9303
(715) 669-5620
Mailing address
PO BOX 305, THORP, WI 54771-0305
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
07/25/2013
Last updated
07/25/2013
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