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1326701632
LOOMIS ROAD DENTAL CENTER LLC
FRANKLIN, WI
NPI
1326701632
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Entity Type
Organization
Authorized Contact
AARON BUSHONG
Dentist/Owner
715-573-3546
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
Enumeration Date
2021-10-14
Last Update Date
2021-10-14
Business Address
LOOMIS ROAD DENTAL CENTER LLC
9700 W LOOMIS RD
FRANKLIN, WI 53132-9701
Phone number: 414-529-3933
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Mailing Address
LOOMIS ROAD DENTAL CENTER LLC
301 N 17TH AVE STE 200
WAUSAU, WI 54401-4225
Phone number: 715-573-3546
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