Organization
WAUNAKEE FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GENIE KUBLE (CONTACT OFFICER)
(920) 450-0157
Entity
Organization
Contact information
Practice address
5939 HWY 113, WAUNAKEE, WI 53597-9551
(608) 849-5085
Mailing address
5939 HWY 113, WAUNAKEE, WI 53597-9551
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/26/2015
Last updated
05/26/2015
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