WESTERN WISCONSIN ORAL HEALTH INITIATIVE

LA CROSSE, WI
NPI1265605265
Entity TypeOrganization
Authorized ContactBARBARA L JERUE
Program Head
608-785-9843
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
Enumeration Date2008-04-10
Last Update Date2008-04-10
Business Address
WESTERN WISCONSIN ORAL HEALTH INITIATIVE
1300 BADGER ST HEALTH SCIENCE CENTER
LA CROSSE, WI 54601-1502
Phone number: 608-789-6101
Mailing Address
WESTERN WISCONSIN ORAL HEALTH INITIATIVE
304 6TH ST N
LA CROSSE, WI 54601-3342
Phone number: