Organization
HILLSIDE DENTAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROBIN BERG (OFFICE MANAGER)
(920) 748-6122
Entity
Organization
Contact information
Practice address
644 W OSHKOSH ST, RIPON, WI 54971-1001
(920) 748-6122
(920) 748-6070
Mailing address
644 W OSHKOSH ST, PO BOX 510, RIPON, WI 54971-1001
(920) 748-6122
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3668
WI
Other
Enumeration date
07/20/2006
Last updated
08/22/2020
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