Organization
GREMBAN & GREMBAN DENTAL S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DARRIN J. GREMBAN D.D.S. (PRESIDENT)
(715) 479-6100
Entity
Organization
Contact information
Practice address
865 N RAILROAD ST, EAGLE RIVER, WI 54521-8834
(715) 479-6100
(715) 477-2162
Mailing address
865 N RAILROAD ST, EAGLE RIVER, WI 54521-8834
(715) 479-6100
(715) 477-2162
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
4901
WI
1223G0001X
General Practice Dentistry
Primary
5242-015
WI
Other
Enumeration date
10/05/2006
Last updated
08/22/2020
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