Awdm, LLC

NPI #1629220983 in Wausau, Wisconsin

Provider Information

NPI Number: 1629220983
Entity Type: Organization
Organization Name: Awdm, LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Oct 17, 2008
Last Updated: Oct 17, 2008

Practice Location

Address: 4113 RIB MOUNTAIN DRIVE
City: Wausau
State: Wisconsin
ZIP Code: 54401
Phone: (715) 359-6060

Authorized Official

Name: ROBERT FONTANA
Title: PRESIDENT
Phone: (315) 454-6000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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