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La Crosse Pediatric Dentistry Llc
Clinic/Center in La Crosse, Wisconsin
NPI 1831550813

La Crosse Pediatric Dentistry Llc is a Clinic/Center based in La Crosse, WI. La Crosse Pediatric Dentistry Llc practices in La Crosse, WI. The NPI Number for La Crosse Pediatric Dentistry Llc is 1831550813 and holds a License No. 1001174-15 (Wisconsin).

The current practice location address for La Crosse Pediatric Dentistry Llc is 2 Copeland Ave Ste 203, La Crosse, WI and can be reached out via phone at 608-782-4054 and via fax at 608-782-2198.

Location: 2 Copeland Ave Ste 203, La Crosse, WI, 54603-3419
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1831550813
Provider Name
La Crosse Pediatric Dentistry Llc
Credential
Provider Entity Type
Organization
Address
2 Copeland Ave Ste 203, La Crosse, WI, 54603-3419
Phone Number
608-782-4054
Fax Number
608-782-2198
Provider Enumeration Date
03/17/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2 Copeland Ave Ste 203
City
La Crosse
State
Wisconsin
Zip
54603-3419
Phone Number
608-782-4054
Fax Number
608-782-2198
person
Provider Business Mailing Address Details
Address
2 Copeland Ave Ste 203
City
La Crosse
State
Wisconsin
Zip
54603-3419
Phone Number
608-782-4054
Fax Number
608-782-2198
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
1001174-15 (Wisconsin)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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