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1831752096
OSHKOSH FAMILY DENTAL 2, LLC
OSHKOSH, WI
NPI
1831752096
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Entity Type
Organization
Authorized Contact
OLGA GRENOVA
Controller
608-215-5899
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
Enumeration Date
2019-04-15
Last Update Date
2019-04-26
Business Address
OSHKOSH FAMILY DENTAL 2, LLC
1825 W POINTE DR
OSHKOSH, WI 54902-4174
Phone number: 608-833-2213
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Mailing Address
OSHKOSH FAMILY DENTAL 2, LLC
8025 EXCELSIOR DR
MADISON, WI 53717-1900
Phone number: 608-215-5899
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