RUSSELL A FORTUNE DDS SC

LA CROSSE, WI
NPI1982706743
Entity TypeOrganization
Authorized ContactRUSSELL ALAN FORTUNE
President Owner
608-782-8834
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
(Licence: WI  2778)
Enumeration Date2006-09-02
Last Update Date2020-08-22
Business Address
RUSSELL A FORTUNE DDS SC
1600 LOSEY BLVD SOUTH
LA CROSSE, WI 54601-6104
Phone number: 608-782-8834
Mailing Address
RUSSELL A FORTUNE DDS SC
1600 LOSEY BLVD SOUTH
LA CROSSE, WI 54601-6104
Phone number: 608-782-8834
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