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Homestead Dental Llc
Dental Clinic/Center in Neenah, Wisconsin
NPI 1093595548

Homestead Dental Llc is a Dental Clinic/Center based in Greenville, WI and is specialized in Dental. Homestead Dental Llc practices in Neenah, WI. The NPI Number for Homestead Dental Llc is 1093595548 and holds a License No. (Wisconsin).

The current practice location address for Homestead Dental Llc is 1580 W. American Drive, Neenah, WI and can be reached out via phone at 920-858-6907.

Location: 1580 W. American Drive, Neenah, WI, 54942-8597
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1093595548
Provider Name
Homestead Dental Llc
Credential
Provider Entity Type
Organization
Address
1580 W. American Drive, Neenah, WI, 54942-8597
Phone Number
920-858-6907
Fax Number
Provider Enumeration Date
10/03/2023
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1730613555 05 WI
institution
Provider Business Practice Location Address Details
Address
1580 W. American Drive
City
Neenah
State
Wisconsin
Zip
54956-5494
Phone Number
920-858-6907
Fax Number
person
Provider Business Mailing Address Details
Address
1580 W. American Drive
City
Neenah
State
Wisconsin
Zip
54956-5494
Phone Number
920-858-6907
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
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Definition
Definition to come...
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