Organization
IOLA DENTAL CLINIC SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES S MAYS DDS (PRESIDENT)
(715) 445-2435
Entity
Organization
Contact information
Practice address
100 PINE CREST LANE, IOLA, WI 54945
(715) 445-2435
(715) 445-2554
Mailing address
PO BOX 274, IOLA, WI 54945
(715) 445-2435
(715) 445-2554
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2527
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34410900
—
WI
Enumeration date
03/26/2007
Last updated
08/22/2020
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