Organization
CHERRY TREE DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ERICKA TAYLOR (DIRECTOR OF HR)
(608) 833-4814
Entity
Organization
Contact information
Practice address
2800 WESTHILL DR, S-104, WAUSAU, WI 54401-3771
(715) 843-5709
Mailing address
8025 EXCELSIOR DR, MADISON, WI 53717
(608) 833-2212
(608) 833-2215
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5000305
WI
Other
Enumeration date
01/24/2007
Last updated
06/01/2015
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