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
- City
- Stevens Point
- State
- Wisconsin
- 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 - Dental — Dental |
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