Mosinee Smiles LLC

NPI #1851997563 in Mosinee, Wisconsin

Provider Information

NPI Number: 1851997563
Entity Type: Organization
Organization Name: Mosinee Smiles LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Dec 8, 2020
Last Updated: Dec 8, 2020

Practice Location

Address: 1103 PINE ST
City: Mosinee
State: Wisconsin
ZIP Code: 54455-1160
Phone: (715) 693-3255

Authorized Official

Name: AARON J BUSHONG, DDS
Title: DENTIST/OWNER
Phone: (715) 573-3546

Specialties & Taxonomy Codes

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

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