Organization
JOHNSON & VALENTA FAMILY DENTISTRY SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDAL L VALENTA DDS (PRESIDENT)
(715) 735-5626
Entity
Organization
Contact information
Practice address
1838 DUNLAP AVE, MARINETTE, WI 54143-1722
(715) 735-5626
(715) 735-3283
Mailing address
PO BOX 480, 1838 DUNLAP AVE, MARINETTE, WI 54143-0480
(715) 735-5626
(715) 735-3283
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5537
WI
Other
Enumeration date
10/19/2009
Last updated
11/01/2009
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