Organization · Type 2 NPI
Mennonite Dental Clinic
Dental Clinic/Center · Thorp, WI
NPI number
1790045904
Active
Practice location
W8180 County Road X
Thorp, WI 54771-7512
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
About NPI 1790045904
Mennonite Dental Clinic's National Provider Identifier is 1790045904, issued on May 22, 2012. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Thorp, WI. The record was last updated on May 22, 2012.