RACINE DENTAL GROUP S C

RACINE, WI
NPI1801941570
Entity TypeOrganization
Authorized ContactJANICE O'LAUGHLIN
Hipaa Officer
262-637-9371
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
Additional Taxonomies1223G0001X Dentist, General Practice
1223P0221X Dentist, Pediatric Dentistry
1223P0300X Dentist, Periodontics
1223S0112X Dentist, Oral and Maxillofacial Surgery
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
Enumeration Date2007-01-24
Last Update Date2022-07-21
Business Address
RACINE DENTAL GROUP S C
1320 S GREENBAY RD
RACINE, WI 53406-4406
Phone number: 262-637-9371
Mailing Address
RACINE DENTAL GROUP S C
1320 S GREENBAY RD
RACINE, WI 53406-4406
Phone number: 262-637-9371