Cowgill Dental La Crosse 2 Llc | |
307 State St La Crosse WI 54601-3334 | |
(608) 833-2213 | |
Not Available |
Full Name | Cowgill Dental La Crosse 2 Llc |
---|---|
Speciality | Dentist |
Location | 307 State St, La Crosse, Wisconsin |
Authorized Official Name and Position | Olga Grenova (DIR OF ACCOUNTING) |
Authorized Official Contact | 6088332213 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Cowgill Dental La Crosse 2 Llc 8025 Excelsior Dr Madison WI 53717-1900 Ph: (608) 833-2213 | Cowgill Dental La Crosse 2 Llc 307 State St La Crosse WI 54601-3334 Ph: (608) 833-2213 |
NPI Number | 1457913790 |
---|---|
Provider Enumeration Date | 07/08/2019 |
Last Update Date | 06/15/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457913790 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
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