Central Wisconsin Endodontic Specialists LLC

NPI #1164031464 in Wausau, Wisconsin

Provider Information

NPI Number: 1164031464
Entity Type: Organization
Organization Name: Central Wisconsin Endodontic Specialists LLC
Primary Specialty: Dentist - Endodontics
Enumeration Date: Jul 23, 2020
Last Updated: May 27, 2021

Practice Location

Address: 2606 STEWART AVENUE
Address 2: #102
City: Wausau
State: Wisconsin
ZIP Code: 54401
Phone: (715) 848-3982

Authorized Official

Name: MITCH WEILAND
Title: SENIOR ACCOUNTANT
Phone: (608) 343-0818

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Endodontics — Endodontics	1223E0200X	Primary

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