Organization · Type 2 NPI
Crystal River Dental, LLC
Dental Clinic/Center · Waupaca, WI
NPI number
1255940227
Active
Practice location
400 School St
Waupaca, WI 54981-1626
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
4 other providers at this address
Other dental clinic/center providers in Waupaca
About NPI 1255940227
Crystal River Dental, LLC's National Provider Identifier is 1255940227, issued on Jul 27, 2020. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Waupaca, WI. The record was last updated on Jul 27, 2020.