OLD OAKS DENTAL LLC

PLEASANT PRAIRIE, WI
NPI1093446163
Entity TypeOrganization
Authorized ContactAARON BUSHONG
Owner
715-573-3868
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
Enumeration Date2022-06-20
Last Update Date2022-06-20
Business Address
OLD OAKS DENTAL LLC
9809 39TH AVE STE 1
PLEASANT PRAIRIE, WI 53158-3733
Phone number: 715-573-3868
Mailing Address
OLD OAKS DENTAL LLC
9809 39TH AVE STE 1
PLEASANT PRAIRIE, WI 53158-3733
Phone number: 715-573-3868
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