Organization
LUMEN ORAL HOLDINGS, LLC
Active
Other names
Baxter Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
SHAINA ZHAO (DENTIST)
(608) 356-3838
Entity
Organization
Contact information
Practice address
501 W MULBERRY ST, BARABOO, WI 53913-1137
(608) 356-3838
Mailing address
501 W MULBERRY ST, BARABOO, WI 53913-1137
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/28/2026
Last updated
02/08/2026
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