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Organization

ADVANCE DENTAL MANAGEMENT

Active
Other names
Oakwood Dental
Organization subpart
No

Provider details

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

Contact information

Practice address
720 N ROCHESTER ST, SUITE 203, MUKWONAGO, WI 53149-1188
(262) 363-2220
(262) 363-2221
Mailing address
720 N ROCHESTER ST, SUITE 203, MUKWONAGO, WI 53149-1188
(262) 363-2220
(262) 363-2221

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5000526
WI

Other

Enumeration date
11/16/2006
Last updated
08/22/2020
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