Organization
HIGH BRIDGE PERIODONTICS LLC
Active
Parent organization
CHERRY TREE DENTAL, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHERRY TREE DENTAL, LLC
Authorized official
MR. ANDREW ZIEGLER CPA (FINANCIAL CONTROLLER)
(608) 817-3252
Entity
Organization
Contact information
Practice address
3203 STEIN BLVD STE B, EAU CLAIRE, WI 54701-6946
(715) 835-1060
Mailing address
2921 LANDMARK PL STE 215, MADISON, WI 53713-4248
(608) 817-3252
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
12/26/2023
Last updated
12/26/2023
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