Organization · Type 2 NPI
Otter Creek Dental, LLC
Dental Clinic/Center · Hortonville, WI
NPI number
1265096812
Active
Practice location
105 Kelly Way
Hortonville, WI 54944-8755
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 Hortonville
About NPI 1265096812
Otter Creek Dental, LLC's National Provider Identifier is 1265096812, issued on Apr 30, 2019. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Hortonville, WI. The record was last updated on Apr 30, 2019.