Organization
D H C S C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN N TESSENDORF DDS (CEO)
(715) 832-3100
Entity
Organization
Contact information
Practice address
215 5TH AVE, EAU CLAIRE, WI 54703-5698
(715) 832-3100
Mailing address
215 5TH AVE, EAU CLAIRE, WI 54703-5698
(715) 832-3100
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2245-15
WI
Other
Enumeration date
09/08/2010
Last updated
10/25/2010
Update your record
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