Organization · Type 2 NPI
Cesa #11 Rural Health Dental Clinic
Dental Clinic/Center · Menomonie, WI
NPI number
1730390840
Active
Practice location
3375 Kothlow Ave., Suite 40
Menomonie, WI 54751
Fax (715) 235-2081
Mailing address
225 Ostermann Dr
Turtle Lake, WI 54889-9191
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
2 other providers at this address
Other dental clinic/center providers in Menomonie
About NPI 1730390840
Cesa #11 Rural Health Dental Clinic's National Provider Identifier is 1730390840, issued on May 24, 2007. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Menomonie, WI. The record was last updated on Aug 6, 2008.