| La Crosse Community Dental | |
|
1300 Badger St La Crosse WI 54601-1502 | |
| (608) 782-2840 | |
| Not Available |
| Full Name | La Crosse Community Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1300 Badger St, La Crosse, Wisconsin |
| Authorized Official Name and Position | Dennis C. Loeffler (DENTAL DIRECTOR) |
| Authorized Official Contact | 6087973160 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| La Crosse Community Dental 1300 Badger St La Crosse WI 54601-1502 Ph: (608) 782-2840 | La Crosse Community Dental 1300 Badger St La Crosse WI 54601-1502 Ph: (608) 782-2840 |
| NPI Number | 1306098397 |
|---|---|
| Provider Enumeration Date | 10/21/2008 |
| Last Update Date | 10/21/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306098397 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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