Organization
MAPLEWOOD DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GENIE KUBLE (CONTACT OFFICER)
(920) 450-0157
Entity
Organization
Contact information
Practice address
1202 COUNTY TRUNK PH, SUITE 300, ONALASKA, WI 54650
(608) 783-7330
(608) 183-5082
Mailing address
1202 COUNTY TRUNK PH, SUITE 300, ONALASKA, WI 54650
(608) 783-7330
(608) 183-5082
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/24/2006
Last updated
06/01/2009
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