Organization
LABADIE FAMILY DENTISTRY, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EMILY LABADIE D.D.S. (OWNER, DENTIST)
(262) 716-9239
Entity
Organization
Contact information
Practice address
5019 MORMON RD., BURLINGTON, WI 53105
(262) 716-9239
Mailing address
5019 MORMON RD., BURLINGTON, WI 53105
(262) 716-9239
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
7064
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7064-15
DEPARTMENT OF REGULATION & LICENSES
WI
Enumeration date
11/18/2016
Last updated
11/18/2016
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