Organization · Type 2 NPI

La Crosse Pediatric Dentistry LLC

Clinic/Center · La Crosse, WI

NPI number 1831550813 Active

Practice location

2 Copeland Ave Ste 203
La Crosse, WI 54603-3419

Call (608) 782-4054 Map

Fax (608) 782-2198

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000X1001174-15 (WI)

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

3 other providers at this address

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About NPI 1831550813

La Crosse Pediatric Dentistry LLC's National Provider Identifier is 1831550813, issued on Mar 17, 2016. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in La Crosse, WI. The record was last updated on Mar 17, 2016.