Individual
DR. RONALD KEITH UNDERDALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1507 TOWER AVE, SUITE 211, SUPERIOR, WI 54880-2554
(715) 394-9450
(715) 394-7116
Mailing address
1507 TOWER AVE, SUITE 211, SUPERIOR, WI 54880-2554
(715) 394-9450
(715) 394-7116
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4001532
WI
Other
Enumeration date
11/06/2006
Last updated
07/08/2007
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