Organization
TIMBER DRIVE DENTAL INC.
Active
Other names
Paco Fralick D.D.S.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEONARD FRALICK JR. D.D.S. (DENTIST)
(715) 365-1800
Entity
Organization
Contact information
Practice address
521 E TIMBER DR, RHINELANDER, WI 54501-2855
(715) 365-1800
(715) 365-1806
Mailing address
PO BOX 579, RHINELANDER, WI 54501-0579
(715) 365-1800
(715) 365-1806
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4504
WI
Other
Enumeration date
02/23/2007
Last updated
08/22/2020
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