Organization
OAKPARK DENTAL - EAU CLAIRE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GENIE KUBLE (CONTACT OFFICER)
(920) 450-0157
Entity
Organization
Contact information
Practice address
4605 ROYAL DR, EAU CLAIRE, WI 54701-2928
(715) 855-9220
(715) 855-9225
Mailing address
4605 ROYAL DR, EAU CLAIRE, WI 54701-2928
(715) 855-9220
(715) 855-9225
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/14/2006
Last updated
08/22/2020
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