Coulee Techlink, INC
Dentist in Onalaska, WI. Organization (NPI-2).
NPI number1245504166
StatusActive
Last updated in NPPESFeb 24, 2012
Details
- NPI
- 1245504166
- Entity type
- Organization (NPI-2)
- Legal business name
- Coulee Techlink, INC
- Organization subpart
- No
- Enumeration date
- Feb 24, 2012
- Last updated
- Feb 24, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 6381 | KY | Yes |
Other names
- Kids First Mobile Dentistry (Doing Business As)
Practice location
1129 Riders Club RdOnalaska, WI 54650-2079
Phone 608-783-8324
Mailing address
1129 Riders Club RdOnalaska, WI 54650-2079
Phone 608-783-8324
Authorized official
Rodney A Holum
Ceo
6087838324
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