Organization
ST CROIX PERIODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES ROBERT NORRIS DDSMS (PRESIDENT)
(715) 377-7860
Entity
Organization
Contact information
Practice address
1200 CRESTVIEW DRIVE, SUITE4, HUDSON, WI 54016-9391
(715) 377-7860
(715) 377-7862
Mailing address
1200 CRESTVIEW DRIVE, SUITE 4, HUDSON, WI 54016-9391
(715) 377-7860
(715) 377-7862
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
5100
WI
Other
Enumeration date
05/03/2007
Last updated
08/22/2020
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