Cherry Tree Dental, LLC

NPI #1861547754 in Wausau, Wisconsin

Provider Information

NPI Number: 1861547754
Entity Type: Organization
Organization Name: Cherry Tree Dental, LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Jan 24, 2007
Last Updated: Jun 1, 2015

Practice Location

Address: 2800 WESTHILL DR
Address 2: S-104
City: Wausau
State: Wisconsin
ZIP Code: 54401-3771
Phone: (715) 843-5709

Authorized Official

Name: MRS. ERICKA TAYLOR
Title: DIRECTOR OF HR
Phone: (608) 833-4814

Specialties & Taxonomy Codes

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

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