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Organization

RIVER TOWN DENTAL, LLC

Active
Other names
Rivertown Dental
Organization subpart
No

Provider details

NPI number
Authorized official
JENNIFER E. SCHIFFER (DIRECTOR OF ADMINISTRATIVE OPERATIO)
(608) 788-0030
Entity
Organization

Contact information

Practice address
519 MCHUGH ROAD, HOLMEN, WI 54636-9256
(608) 526-9300
(608) 526-9310
Mailing address
3143 STATE ROAD, SUITE 100, LA CROSSE, WI 54601-6964
(608) 788-0030
(608) 788-7881

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1223G0001X
General Practice Dentistry
5048
WI
1223G0001X
General Practice Dentistry
5215
WI
1223G0001X
General Practice Dentistry
6223
WI

Other

Enumeration date
03/15/2013
Last updated
07/20/2023
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