Organization
MID-TOWNE DENTAL ASSOCIATES, S.C.
Active
Parent organization
MID-TOWNE DENTAL ASSOCIATES, S.C.
Other names
The Lakes Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
MID-TOWNE DENTAL ASSOCIATES, S.C.
Authorized official
MRS. VANESSA M WEBB (BUSINESS MANAGER)
(715) 423-3322
Entity
Organization
Contact information
Practice address
1160 ROME CENTER DR, NEKOOSA, WI 54457-8705
(715) 325-7577
(715) 325-7750
Mailing address
1160 ROME CENTER DR, NEKOOSA, WI 54457-8705
(715) 325-7577
(715) 325-7750
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5004013
WI
Other
Enumeration date
06/19/2012
Last updated
08/01/2012
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