Organization
COUNTY OF GRANT
Active
Other names
Grant County Health Department Dental Program
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFERY A KINDRAI MSPH, RS (DIRECTOR / HEALTH OFFICER)
(608) 723-6416
Entity
Organization
Contact information
Practice address
111 S JEFFERSON ST FL 2, LANCASTER, WI 53813-1672
(608) 723-6416
(608) 723-6501
Mailing address
111 S JEFFERSON ST FL 2, LANCASTER, WI 53813-1672
(608) 723-6416
(608) 723-6501
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
WI
Other
Enumeration date
11/17/2008
Last updated
11/17/2008
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