| Labadie Family Dentistry, S.c. | |
|
5019 Mormon Rd. Burlington WI 53105 | |
| (262) 716-9239 | |
| Not Available |
| Full Name | Labadie Family Dentistry, S.c. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 5019 Mormon Rd., Burlington, Wisconsin |
| Authorized Official Name and Position | Emily Labadie (OWNER, DENTIST) |
| Authorized Official Contact | 2627169239 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Labadie Family Dentistry, S.c. 5019 Mormon Rd. Burlington WI 53105 Ph: (262) 716-9239 | Labadie Family Dentistry, S.c. 5019 Mormon Rd. Burlington WI 53105 Ph: (262) 716-9239 |
| NPI Number | 1356884613 |
|---|---|
| Provider Enumeration Date | 11/18/2016 |
| Last Update Date | 11/18/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356884613 | NPI | - | NPPES |
| 7064-15 | Other | WI | DEPARTMENT OF REGULATION & LICENSES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 7064 (Wisconsin) | Primary |
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