Organization
HIXON HILLS DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TOREY VANDE WALLE DDS (OWNER)
(608) 782-9667
Entity
Organization
Contact information
Practice address
1800 STATE ROAD 16, LA CROSSE, WI 54601-3011
(608) 782-9667
Mailing address
1800 STATE ROAD 16, LA CROSSE, WI 54601-3011
(608) 782-9667
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/23/2021
Last updated
01/23/2021
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