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Wolf River Dental Llc
Dental Clinic/Center in Shawano, Wisconsin
NPI 1144684002

Wolf River Dental Llc is a Dental Clinic/Center based in Shawano, WI and is specialized in Dental. Wolf River Dental Llc practices in Shawano, WI. The NPI Number for Wolf River Dental Llc is 1144684002 and holds a License No. (Wisconsin).

The current practice location address for Wolf River Dental Llc is 152 Woodlawn Dr, Shawano, WI and can be reached out via phone at 715-526-3314.

Location: 152 Woodlawn Dr, Shawano, WI, 54166-2200
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1144684002
Provider Name
Wolf River Dental Llc
Credential
Provider Entity Type
Organization
Address
152 Woodlawn Dr, Shawano, WI, 54166-2200
Phone Number
715-526-3314
Fax Number
Provider Enumeration Date
04/07/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
152 Woodlawn Dr
City
Shawano
State
Wisconsin
Zip
54166-2200
Phone Number
715-526-3314
Fax Number
person
Provider Business Mailing Address Details
Address
152 Woodlawn Dr
City
Shawano
State
Wisconsin
Zip
54166-2200
Phone Number
715-526-3314
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
()
Definition
Definition to come...
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