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Lodi Valley Gentle Dental Llp
Dental Clinic/Center in Lodi, Wisconsin
NPI 1861694929

Lodi Valley Gentle Dental Llp is a Dental Clinic/Center based in Lodi, WI and is specialized in Dental. Lodi Valley Gentle Dental Llp practices in Lodi, WI. The NPI Number for Lodi Valley Gentle Dental Llp is 1861694929 and holds a License No. 5001592 (Wisconsin).

The current practice location address for Lodi Valley Gentle Dental Llp is 216 S Main St, Lodi, WI and can be reached out via phone at 608-592-4398 and via fax at 608-592-5245.

Location: 216 S Main St, Lodi, WI, 53555-1121
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1861694929
Provider Name
Lodi Valley Gentle Dental Llp
Credential
Provider Entity Type
Organization
Address
216 S Main St, Lodi, WI, 53555-1121
Phone Number
608-592-4398
Fax Number
608-592-5245
Provider Enumeration Date
06/01/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
33561900 05 WI
institution
Provider Business Practice Location Address Details
Address
216 S Main St
City
Lodi
State
Wisconsin
Zip
53555-1121
Phone Number
608-592-4398
Fax Number
608-592-5245
person
Provider Business Mailing Address Details
Address
216 S Main St
City
Lodi
State
Wisconsin
Zip
53555-1121
Phone Number
608-592-4398
Fax Number
608-592-5245
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
5001592 (Wisconsin)
Definition
Definition to come...
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