Organization
HOSPITAL DENTISTRY FOR KIDS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLINT RAU DDS (PRESIDENT OF THE BOARD)
(920) 664-2424
Entity
Organization
Contact information
Practice address
4980 S COUNTY RD T, DENMARK, WI 54208
(920) 664-2424
Mailing address
PO BOX 560, DENMARK, WI 54208-0560
(920) 664-2424
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223P0221X
Pediatric Dentistry
—
—
Other
Enumeration date
05/15/2020
Last updated
05/15/2020
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