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Organization

RIVERVIEW COMMUNITY DENTAL CLINIC

Active
Parent organization
RIVERVIEW HOSPITAL ASSOCIATION
Organization subpart
Yes

Provider details

NPI number
Legal business name
RIVERVIEW HOSPITAL ASSOCIATION
Authorized official
CELSE A BERARD (PRESIDENT)
(715) 421-7410
Entity
Organization

Contact information

Practice address
1160 ROME CENTER DR, NEKOOSA, WI 54457
(715) 422-7750
(715) 424-9027
Mailing address
420 DEWEY ST, WISCONSIN RAPIDS, WI 54494-4714
(715) 422-7750
(715) 424-9027

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
09/19/2008
Last updated
09/19/2008
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