Organization
LIFETIME DENTAL CARE SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY R BUTCHERT DDS (OWNER)
(715) 552-1000
Entity
Organization
Contact information
Practice address
822 S HASTINGS WAY, EAU CLAIRE, WI 54701-3426
(715) 552-1000
(715) 552-2772
Mailing address
822 S HASTINGS WAY, EAU CLAIRE, WI 54701-3426
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5001709-15
WI
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
02/24/2014
Last updated
02/24/2014
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