Organization
DENTURESMART DENTURE SERVICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT WILLIAM CORTOPASSI (OWNER)
(608) 519-3946
Entity
Organization
Contact information
Practice address
605 2ND AVE S, STE 130, ONALASKA, WI 54650-3388
(608) 519-3946
(608) 519-3947
Mailing address
605 2ND AVE S, SUITE 130, ONALASKA, WI 54650-3388
(608) 519-3946
(608) 519-3947
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
126900000X
Dental Laboratory Technician
Primary
—
—
Other
Enumeration date
12/31/2014
Last updated
01/09/2015
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