Organization
CJS DENTAL CARE LLC
Active
Other names
Ledgeview Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
COLE STOCKHEIMER (OWNER)
(920) 819-1714
Entity
Organization
Contact information
Practice address
2225 KAFTAN WAY, DE PERE, WI 54115-4052
(920) 983-3800
Mailing address
2225 KAFTAN WAY, DE PERE, WI 54115-4052
(920) 983-3800
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/18/2024
Last updated
09/18/2024
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