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Stanley Hometown Dentistry
Dental Clinic/Center in Stanley, Wisconsin
NPI 1861865644

Stanley Hometown Dentistry is a Dental Clinic/Center based in Stanley, WI and is specialized in Dental. Stanley Hometown Dentistry practices in Stanley, WI. The NPI Number for Stanley Hometown Dentistry is 1861865644 and holds a License No. 6399015 (Wisconsin).

The current practice location address for Stanley Hometown Dentistry is 120 W 4Th Ave, Stanley, WI and can be reached out via phone at 715-644-3601 and via fax at 715-644-3687.

Location: 120 W 4Th Ave, Stanley, WI, 54768-1002
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1861865644
Provider Name
Stanley Hometown Dentistry
Credential
Provider Entity Type
Organization
Address
120 W 4Th Ave, Stanley, WI, 54768-1002
Phone Number
715-644-3601
Fax Number
715-644-3687
Provider Enumeration Date
11/03/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
120 W 4Th Ave
City
Stanley
State
Wisconsin
Zip
54768-1002
Phone Number
715-644-3601
Fax Number
715-644-3687
person
Provider Business Mailing Address Details
Address
120 W 4Th Ave
City
Stanley
State
Wisconsin
Zip
54768-1002
Phone Number
715-644-3601
Fax Number
715-644-3687
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
6399015 (Wisconsin)
Definition
Definition to come...
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