LA CROSSE PEDIATRIC DENTISTRY LLC

LA CROSSE, WI
NPI1831550813
Entity TypeOrganization
Authorized ContactJONATHAN M HANKS
Onwer/Dds
608-782-4054
Organization Subpart ?No
Primary Taxonomy261Q00000X Clinic/Center
(Licence: WI  1001174-15)
Enumeration Date2016-03-17
Last Update Date2016-03-17
Business Address
LA CROSSE PEDIATRIC DENTISTRY LLC
2 COPELAND AVE STE 203
LA CROSSE, WI 54603-3419
Phone number: 608-782-4054
Mailing Address
LA CROSSE PEDIATRIC DENTISTRY LLC
2 COPELAND AVE STE 203
LA CROSSE, WI 54603-3419
Phone number: 608-782-4054
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