Organization
SPRING VALLEY DENTISTRY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL CONNORS D.D.S. (OWNER/DENTIST)
(715) 778-5543
Entity
Organization
Contact information
Practice address
W124 S 2ND ST, SPRING VALLEY, WI 54767
(715) 778-5543
Mailing address
PO BOX 190, SPRING VALLEY, WI 54767
(715) 778-5543
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
5206-015
WI
122300000X
Dentist
Primary
6014-015
WI
Other
Enumeration date
05/22/2017
Last updated
05/22/2017
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