Leipnitz Dental Clinic, Sc

NPI 1295922946 - Clinic/Center - 261QD0000X

NPI Details
NPI 1295922946
Enumeration Date 09/26/2007
Last Updated 09/26/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name TODD ALERON TODD
Position PRESIDENT/OWNER
Phone (715) 235-7371
Fax (715) 235-7380
Practice Location
2521 BROADWAY ST S
MENOMONIE WI, 54751-3914, US
Phone (715) 235-7371
Fax (715) 235-7380
Business Location
2521 BROADWAY ST S
MENOMONIE WI, 54751-3914, US
Phone (715) 235-7371
Fax (715) 235-7380
Toxanomy
Taxonomy Code 261QD0000X
License State Wisconsin
License Number 5165-015
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According to our database, Leipnitz Dental Clinic, Sc NPI is 1295922946, taxonomy code is 261QD0000X and license number is 5165-015, license state is located at Wisconsin. Leipnitz Dental Clinic, Sc physically located at 2521 Broadway St S, Menomonie WI, 54751-3914. NPI Number 1033115704 has the healthcare provider type.

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1295922946 NPI number is provided on an as is basis without warranty of any kind. 1295922946 is maintained by the National Plan & Provider Enumeration System. The contents of Leipnitz Dental Clinic, Sc are for informational purposes only.