La Crosse Community Dental
Clinic/Center, Dental in La Crosse, WI. Organization (NPI-2).
NPI number1306098397
StatusActive
Last updated in NPPESOct 21, 2008
Details
- NPI
- 1306098397
- Entity type
- Organization (NPI-2)
- Legal business name
- La Crosse Community Dental
- Organization subpart
- No
- Enumeration date
- Oct 21, 2008
- Last updated
- Oct 21, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | – | – | Yes |
Practice location
1300 Badger StLa Crosse, WI 54601-1502
Phone 608-782-2840
Mailing address
1300 Badger StLa Crosse, WI 54601-1502
Phone 608-782-2840
Authorized official
Dennis C. Loeffler
Dental Director
6087973160
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All 8 Dental Clinic/Center providers in La Crosse · All 4,035 providers in La Crosse
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