Organization
NORTHWOODS DENTISTRY, RICE LAKE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER STAROBA (PRACTICE MANAGER)
(715) 428-2421
Entity
Organization
Contact information
Practice address
115 E THOMAS ST, RICE LAKE, WI 54868-3055
(715) 234-4636
(715) 234-2982
Mailing address
PO BOX 27, PRENTICE, WI 54556-0027
(715) 428-2422
(715) 428-2431
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
10/02/2018
Last updated
10/02/2018
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