NPI 1255940227

Crystal River Dental, LLC

Organisation Dental Clinic/Center Waupaca, WI

Practice location

Address: 400 School St, Waupaca, WI 54981-1626
Phone: (616) 450-9270

Authorised official

Name: Kelly a Bellinger
Title: Operations Manager
Phone: (616) 450-9270

Registered specialties

Dental Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QD0000X

Other Clinic/Center providers in Wisconsin →

Registry record

NPI: 1255940227
Entity type: Organization
NPI issued: 27 Jul 2020
Record last updated: 27 Jul 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.