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1790256428
HALLQUIST DENTAL, LLC
OSHKOSH, WI
NPI
1790256428
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Entity Type
Organization
Authorized Contact
THOMAS HALLQUIST
Dentist
920-235-6070
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center Dental
Enumeration Date
2018-12-06
Last Update Date
2018-12-06
Business Address
HALLQUIST DENTAL, LLC
2163 W 9TH AVE
OSHKOSH, WI 54904-8043
Phone number: 920-235-6070
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Mailing Address
HALLQUIST DENTAL, LLC
2163 W 9TH AVE
OSHKOSH, WI 54904-8043
Phone number: 920-235-6070
Copy
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