First Impressions, Sc Orthodontics

NPI #1932482841 in Wausau, Wisconsin

Provider Information

NPI Number: 1932482841
Entity Type: Organization
Organization Name: First Impressions, Sc Orthodontics
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Sep 27, 2011
Last Updated: Sep 27, 2011

Practice Location

Address: 413 N 17TH AVE
City: Wausau
State: Wisconsin
ZIP Code: 54401-4226
Phone: (715) 842-4649

Authorized Official

Name: HEATHER HOMEYER
Title: FINANCIAL COORDINATOR
Phone: (715) 842-4649

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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