Organization
ADVANCED ENDODONTICS, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAYLA OLEJNICZAK MA (OFFICE MANAGER)
(715) 834-2593
Entity
Organization
Contact information
Practice address
788 OAKLEAF WAY, ALTOONA, WI 54720-2265
(715) 834-8414
Mailing address
788 OAKLEAF WAY, ALTOONA, WI 54720-2265
(715) 834-8414
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
10/30/2024
Last updated
10/30/2024
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