| Driftless Dental Care, Llc | |
|
3143 State Rd Ste 200 La Crosse WI 54601-6964 | |
| (608) 787-1700 | |
| Not Available |
| Full Name | Driftless Dental Care, Llc |
|---|---|
| Speciality | Dentist |
| Location | 3143 State Rd Ste 200, La Crosse, Wisconsin |
| Authorized Official Name and Position | Olga Grenova (DIRECTOR OF ACCOUNTING) |
| Authorized Official Contact | 6088332213 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Driftless Dental Care, Llc 3143 State Rd Ste 200 La Crosse WI 54601-6964 Ph: (608) 787-1700 | Driftless Dental Care, Llc 3143 State Rd Ste 200 La Crosse WI 54601-6964 Ph: (608) 787-1700 |
| NPI Number | 1154834018 |
|---|---|
| Provider Enumeration Date | 11/14/2017 |
| Last Update Date | 11/14/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154834018 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
News Archive
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