Organization
DR. EUGENE D. ROUSH, SC
Active
Other names
Birch Point Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EUGENE DONALD ROUSH D.D.S. (DENTISIT/PRESIDENT)
(715) 945-2901
Entity
Organization
Contact information
Practice address
3661 N HIGHLAND DRIVE, RADISSON, WI 54867
(715) 945-2901
(715) 945-2805
Mailing address
PO BOX 8, RADISSON, WI 54867-0008
(715) 945-2901
(715) 945-2805
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2853
WI
122300000X
Dentist
5072
WI
Other
Enumeration date
02/05/2010
Last updated
02/05/2010
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