Organization
IOLA FAMILY DENTAL, LLC
Active
Other names
Iola Family Dental,LLC
Organization subpart
No
Provider details
NPI number
Authorized official
KAYLA THORPE (OFFICE MANAGER)
(920) 982-3567
Entity
Organization
Contact information
Practice address
100 PINE CREST LN, IOLA, WI 54945-8230
(715) 445-2435
Mailing address
100 PINE CREST LN, IOLA, WI 54945-8230
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/12/2020
Last updated
01/29/2021
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