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Contact Information

BLADO DENTAL CLINIC LTD.
1116 SUPERIOR AVE
TOMAH, WI54660
 Phone: 608-372-3261
 Fax: 608-374-4778
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for BLADO DENTAL CLINIC LTD · (Female)

NPI Number 1023244134
Status Active
Credentials
Entity Individual
Enumeration date 06/03/2009
Last updated 06/03/2009 - About 17 years ago
Sole proprietor 1 Not specified
Identifiers
  • WI License # WI5000133
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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