La Crosse Pediatric Dentistry LLC
La Crosse Pediatric Dentistry LLC is a Clinic/Center in LA Crosse, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2016.
- Licensed in
- WI
- In the registry since
- 2016
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2 Copeland Ave Ste 203LA Crosse, WI 54603-3419
Phone: (608) 782-4054
Fax: (608) 782-2198
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinic/Center (primary) | Taxonomy 261Q00000X · Licence 1001174-15 (WI) |
|---|
Record details
| NPI number | 1831550813 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jonathan Hanks — Onwer/Dds · (608) 782-4054 |
| NPI enumerated | March 17, 2016 |
| Last updated in NPPES | March 17, 2016 |
| Mailing address | 2 Copeland Ave Ste 203, La Crosse, WI 54603-3419 |
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