Organization
PRAIRIE RUN DENTAL S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAIME L SEEHAFER (ACCOUNTS MANAGER)
(715) 387-1724
Entity
Organization
Contact information
Practice address
1807 PRAIRIE DRIVE, MARSHFIELD, WI 54449
(715) 387-1724
(715) 384-5310
Mailing address
1807 PRAIRIE DRIVE, MARSHFIELD, WI 54449
(715) 387-1724
(715) 384-5310
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5247015
WI
Other
Enumeration date
05/09/2007
Last updated
08/22/2020
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