institution
Cesa #11 Rural Health Dental Clinic
Dental Clinic/Center in Menomonie, Wisconsin
NPI 1730390840

Cesa #11 Rural Health Dental Clinic is a Dental Clinic/Center based in Turtle Lake, WI and is specialized in Dental. Cesa #11 Rural Health Dental Clinic practices in Menomonie, WI. The NPI Number for Cesa #11 Rural Health Dental Clinic is 1730390840 and holds a License No. (Wisconsin).

The current practice location address for Cesa #11 Rural Health Dental Clinic is 3375 Kothlow Ave., Menomonie, WI and can be reached out via phone at 715-235-1573 and via fax at 715-235-2081.

Location: 3375 Kothlow Ave., Menomonie, WI, 54889-9191
institution
Provider Profile Details
NPI Number
1730390840
Provider Name
Cesa #11 Rural Health Dental Clinic
Credential
Provider Entity Type
Organization
Address
3375 Kothlow Ave., Menomonie, WI, 54889-9191
Phone Number
715-235-1573
Fax Number
715-235-2081
Provider Enumeration Date
05/24/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
38389000 05 WI
institution
Provider Business Practice Location Address Details
Address
3375 Kothlow Ave.
City
State
Zip
54751
Phone Number
715-235-1573
Fax Number
715-235-2081
person
Provider Business Mailing Address Details
Address
3375 Kothlow Ave.
City
State
Zip
54751
Phone Number
715-235-1573
Fax Number
715-235-2081
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
(Wisconsin)
Definition
Definition to come...
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