Organization
DENTAL CLINIC OF ONALASKA
Active
Other names
Trempealeau Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIKE P. OLSEN D.D.S. (PRESIDENT)
(608) 783-3341
Entity
Organization
Contact information
Practice address
1008 MAIN ST, ONALASKA, WI 54650-2741
(608) 783-3341
Mailing address
1008 MAIN ST, ONALASKA, WI 54650-2741
(608) 783-3341
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4528
WI
Other
Enumeration date
05/23/2007
Last updated
08/22/2020
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