Organization
GREENBRANCH DENTAL L.L.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY MICHAEL NEHRING D.D.S (CO-OWNER AND PRESIDENT)
(715) 476-3432
Entity
Organization
Contact information
Practice address
501 GRANITE ST, HURLEY, WI 54534-1372
(715) 561-2386
(715) 561-2011
Mailing address
PO BOX 146, MERCER, WI 54547-0146
(715) 476-3432
(715) 476-3418
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2279
WI
122300000X
Dentist
Primary
6052
WI
Other
Enumeration date
09/29/2014
Last updated
09/29/2014
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