Organization
GARY L KAEFER DDS SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY L KAEFER DDS (OWNER)
(715) 463-2882
Entity
Organization
Contact information
Practice address
302 SOUTH PINE ST, GRANTSBURG, WI 54840
(715) 463-2882
(715) 463-2885
Mailing address
302 SOUTH PINE ST, GRANTSBURG, WI 54840
(715) 463-2882
(715) 463-2885
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5001913
WI
Other
Enumeration date
10/20/2006
Last updated
08/22/2020
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