Organization
ORAL HEALTH CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID KRIEGE DDS (OWNER)
(920) 648-2327
Entity
Organization
Contact information
Practice address
135 N MAIN ST, LAKE MILLS, WI 53551-1609
(920) 648-2327
Mailing address
135 N MAIN ST, LAKE MILLS, WI 53551-1609
(920) 648-2327
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2336
WI
Other
Enumeration date
08/08/2007
Last updated
08/08/2007
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