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Christine Liesen John J Pinzl DDS Sc

Dentist in Woodruff, WI. Organization (NPI-2).

NPI number1295098523
StatusActive
Last updated in NPPESJun 21, 2012

Details

NPI
1295098523
Entity type
Organization (NPI-2)
Legal business name
Christine Liesen John J Pinzl DDS Sc
Organization subpart
No
Enumeration date
Jun 21, 2012
Last updated
Jun 21, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist3843WIYes
122300000X Dentist3925WI

Practice location

240 Oak Street
Woodruff, WI 54568

Phone 715-356-3474 · Fax 715-358-5145

Mailing address

Po Box 260
Woodruff, WI 54568-0260

Phone 715-356-3474 · Fax 715-358-5145

Authorized official

John J Pinzl
President
7153563474

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