Individual
GAURAV JAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
N6571 LUMBERJACK GUY RD, MARSHFIELD CLINIC DENTAL CENTER, BLACK RIVER FALLS, WI 54615-5405
(715) 387-5511
Mailing address
1307 N SAINT JOSEPH AVE, MARSHFIELD, WI 54449-1340
(715) 898-6208
(715) 221-5688
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
1001303-15
WI
Other
Enumeration date
03/04/2016
Last updated
08/15/2024
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