Organization
WHITEHALL DENTAL CENTER LLC
Active
Organization
WHITEHALL DENTAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AARON BUSHONG DDS (OWNER)
(715) 573-3546
Entity
Organization
Contact information
Practice address
36220 TOWER DR, WHITEHALL, WI 54773-8524
(715) 538-1800
Mailing address
36220 TOWER DR, WHITEHALL, WI 54773-8524
(715) 538-1800
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/25/2022
Last updated
01/25/2022
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