Baxter Dental Center

NPI 1376680298 - Dentist - 122300000X

NPI Details
NPI 1376680298
Enumeration Date 01/31/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name TERRY JAMES TERRY
Position PRESIDENT
Phone (608) 356-3838
Fax (608) 356-2035
Practice Location
501 W MULBERRY ST
BARABOO WI, 53913, US
Phone (608) 356-3838
Fax (608) 356-2035
Business Location
501 W MULBERRY ST
BARABOO WI, 53913, US
Phone (608) 356-3838
Fax (608) 356-2035
Toxanomy
Taxonomy Code 122300000X
License State Wisconsin
License Number 3986015
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According to our database, Baxter Dental Center NPI is 1376680298, taxonomy code is 122300000X and license number is 3986015, license state is located at Wisconsin. Baxter Dental Center physically located at 501 W Mulberry St, Baraboo WI, 53913. NPI Number 1033115704 has the healthcare provider type.

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1376680298 NPI number is provided on an as is basis without warranty of any kind. 1376680298 is maintained by the National Plan & Provider Enumeration System. The contents of Baxter Dental Center are for informational purposes only.