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Organization

OAKPARK DENTAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GENIE KUBLE (CONTACT OFFICER)
(920) 450-0157
Entity
Organization

Contact information

Practice address
450 N KOELLER ST, OSHKOSH, WI 54902-4111
(920) 235-5503
(920) 235-5527
Mailing address
450 N KOELLER ST, OSHKOSH, WI 54902-4111
(920) 235-5503
(920) 235-5527

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4060
WI

Other

Enumeration date
11/10/2006
Last updated
08/22/2020
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