Wisconsin Dental Sleep Medicine

NPI #1558549451 in Wausau, Wisconsin

Provider Information

NPI Number
1558549451
Entity Type
Organization
Organization Name
Wisconsin Dental Sleep Medicine
Primary Specialty
Dental Laboratory
Enumeration Date
Feb 4, 2008
Last Updated
Feb 4, 2008

Practice Location

Address
413 JEFFERSON ST
City
Wausau
ZIP Code
54403-5433
Phone
(715) 845-6419

Authorized Official

Name
DR. RONALD S PREHN, D.D.S
Title
PRESIDENT
Phone
(715) 845-6419

Specialties & Taxonomy Codes

Specialty
Dental Laboratory

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