Organization
HAWKSFORD-LARSON DENTAL CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAY E HAWKSFORD (OWNER)
(715) 634-6776
Entity
Organization
Contact information
Practice address
15541W HIGHWAY 77 E, HAYWARD, WI 54843
(715) 634-6776
(715) 634-5859
Mailing address
PO BOX 767, 15541 HIGHWAY 77E, HAYWARD, WI 54843
(715) 634-6776
(715) 634-5859
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/04/2006
Last updated
09/20/2011
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