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Western Dairyland Eoc
Dental Clinic/Center in Independence, Wisconsin
NPI 1255660759

Western Dairyland Eoc is a Dental Clinic/Center based in Independence, WI and is specialized in Dental. Western Dairyland Eoc practices in Independence, WI. The NPI Number for Western Dairyland Eoc is 1255660759 and holds a License No. (Wisconsin).

The current practice location address for Western Dairyland Eoc is 23140 Whitehall Rd, Independence, WI and can be reached out via phone at 715-985-2391 and via fax at 715-985-2581.

Location: 23140 Whitehall Rd, Independence, WI, 54747-0125
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1255660759
Provider Name
Western Dairyland Eoc
Credential
Provider Entity Type
Organization
Address
23140 Whitehall Rd, Independence, WI, 54747-0125
Phone Number
715-985-2391
Fax Number
715-985-2581
Provider Enumeration Date
12/11/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
23140 Whitehall Rd
City
Independence
State
Wisconsin
Zip
54747-7702
Phone Number
715-985-2391
Fax Number
715-985-2581
person
Provider Business Mailing Address Details
Address
23140 Whitehall Rd
City
Independence
State
Wisconsin
Zip
54747-7702
Phone Number
715-985-2391
Fax Number
715-985-2581
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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