Delta Dental of Wisconsin Foundation INC

NPI #1134898786 in Stevens Point, Wisconsin

Provider Information

NPI Number
1134898786
Entity Type
Organization
Organization Name
Delta Dental of Wisconsin Foundation INC
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Sep 8, 2021
Last Updated
Sep 8, 2021

Practice Location

Address
941 MICHIGAN AVE
ZIP Code
54481
Phone
(715) 204-1180

Authorized Official

Name
ANN BOSON
Title
EXECUTIVE DIRECTOR
Phone
(715) 343-7209

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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