Organization
COMMUNITY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIA E BURLINGAME (OFFICE)
(715) 284-9409
Entity
Organization
Contact information
Practice address
716 W ADAMS ST, BLACK RIVER FALLS, WI 54615-9108
(715) 284-9409
(715) 284-9167
Mailing address
716 W ADAMS ST, BLACK RIVER FALLS, WI 54615-9108
(715) 284-9409
(715) 284-9167
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
WI
Other
Enumeration date
06/01/2005
Last updated
07/21/2022
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