Organization
NBO DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KYLE DONOVAN HAMMER DDS (OWNER & PRESIDENT)
(218) 348-4012
Entity
Organization
Contact information
Practice address
1507 TOWER AVE STE 410, SUPERIOR, WI 54880-2562
(715) 392-6213
Mailing address
1507 TOWER AVE STE 410, SUPERIOR, WI 54880-2562
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/28/2023
Last updated
03/28/2023
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