Coulee Family Dental LLC
Dentist in La Crosse, WI. Organization (NPI-2).
NPI number1922401280
StatusActive
Last updated in NPPESOct 1, 2014
Details
- NPI
- 1922401280
- Entity type
- Organization (NPI-2)
- Legal business name
- Coulee Family Dental LLC
- Organization subpart
- No
- Enumeration date
- Oct 1, 2014
- Last updated
- Oct 1, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | – | – | Yes |
Practice location
201 7th St SLa Crosse, WI 54601-4388
Phone 608-782-3102 · Fax 608-782-3120
Mailing address
201 7th St SLa Crosse, WI 54601-4388
Phone 608-782-3102 · Fax 608-782-3120
Authorized official
Christine E Jones
Dentist
6087823102
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