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Otter Creek Dental, Llc
Dental Clinic/Center in Hortonville, Wisconsin
NPI 1265096812

Otter Creek Dental, Llc is a Dental Clinic/Center based in Hortonville, WI and is specialized in Dental. Otter Creek Dental, Llc practices in Hortonville, WI. The NPI Number for Otter Creek Dental, Llc is 1265096812 and holds a License No. (Wisconsin).

The current practice location address for Otter Creek Dental, Llc is 105 Kelly Way, Hortonville, WI and can be reached out via phone at 920-740-8706.

Location: 105 Kelly Way, Hortonville, WI, 54944-8755
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1265096812
Provider Name
Otter Creek Dental, Llc
Credential
Provider Entity Type
Organization
Address
105 Kelly Way, Hortonville, WI, 54944-8755
Phone Number
920-740-8706
Fax Number
Provider Enumeration Date
04/30/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
105 Kelly Way
City
Hortonville
State
Wisconsin
Zip
54944-8755
Phone Number
920-740-8706
Fax Number
person
Provider Business Mailing Address Details
Address
105 Kelly Way
City
Hortonville
State
Wisconsin
Zip
54944-8755
Phone Number
920-740-8706
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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