HALLQUIST FAMILY DENTAL LLC

OSHKOSH, WI
NPI1578118329
Entity TypeOrganization
Authorized ContactOLGA GRENOVA
Dir Of Accounting
608-833-2213
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
Enumeration Date2019-08-08
Last Update Date2019-08-08
Business Address
HALLQUIST FAMILY DENTAL LLC
2163 W 9TH AVE
OSHKOSH, WI 54904-8043
Phone number: 608-833-2213
Mailing Address
HALLQUIST FAMILY DENTAL LLC
8025 EXCELSIOR DR
MADISON, WI 53717-1900
Phone number: