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Organization

MERCY DENTAL EVANSVILLE LLC

Active
Other names
The Grove Family Dental
Organization subpart
No

Provider details

NPI number
Authorized official
MARCIE RAULS (COO)
(608) 438-9058
Entity
Organization

Contact information

Practice address
109 S MADISON ST, EVANSVILLE, WI 53536-1319
(608) 882-4441
Mailing address
109 S MADISON ST, EVANSVILLE, WI 53536-1319
(608) 882-4441

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
12/11/2024
Last updated
12/11/2024
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