Organization
SAUK TRAIL DENTAL LLC
Active
Parent organization
STEPPING STONE DENTAL PARTNERS
Organization subpart
Yes
Provider details
NPI number
Legal business name
STEPPING STONE DENTAL PARTNERS
Authorized official
GENEVIEVE POPPE (PARTNER)
(608) 358-3370
Entity
Organization
Contact information
Practice address
661 E GREEN BAY AVE, SAUKVILLE, WI 53080-2013
(262) 284-7111
Mailing address
661 E GREEN BAY AVE, SAUKVILLE, WI 53080-2013
(262) 284-7111
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2485-15
WI
1223G0001X
General Practice Dentistry
Primary
2334-15
WI
Other
Enumeration date
12/21/2012
Last updated
06/04/2014
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