Organization
RACINE DENTAL CENTER LLC
Active
Other names
Dental Care Alliance
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA JOHNSON (CRO)
(941) 444-0558
Entity
Organization
Contact information
Practice address
1101 S AIRLINE RD, RACINE, WI 53406-3888
(262) 637-9371
Mailing address
1101 S AIRLINE RD, RACINE, WI 53406-3888
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
01/17/2023
Last updated
07/20/2026
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