Wisconsin Dental Sleep Medicine

NPI 1558549451 - Dental Laboratory - 292200000X

NPI Details
NPI 1558549451
Enumeration Date 02/04/2008
Last Updated 02/04/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name RONALD S RONALD
Position PRESIDENT
Phone (715) 845-6419
Fax
Practice Location
413 JEFFERSON ST
WAUSAU WI, 54403-5433, US
Phone (715) 845-6419
Fax
Business Location
413 JEFFERSON ST
WAUSAU WI, 54403-5433, US
Phone (715) 845-6419
Fax
Toxanomy
Taxonomy Code 292200000X
License State Wisconsin
License Number 3010
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According to our database, Wisconsin Dental Sleep Medicine NPI is 1558549451, taxonomy code is 292200000X and license number is 3010, license state is located at Wisconsin. Wisconsin Dental Sleep Medicine physically located at 413 Jefferson St, Wausau WI, 54403-5433. NPI Number 1033115704 has the healthcare provider type.

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1558549451 NPI number is provided on an as is basis without warranty of any kind. 1558549451 is maintained by the National Plan & Provider Enumeration System. The contents of Wisconsin Dental Sleep Medicine are for informational purposes only.