| Organization Name: | RHINELANDER FAMILY DENTISTRY, SC |
| NPI Number: | 1134267479 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DANIEL P. GREMBAN (PRESIDENT) |
| Mailing Address: | 803 Lincoln St Rhinelander |
| State: | WI US |
| Postal Code: | 545013543 |
| Phone Number: | 7153655900 |
| Fax Number: | 7153655903 |
| NPI Enumeration Date: | 02/01/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QD0000X |
| License Number: | 3195-015 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Dental |
| Taxonomy Definition: | |