WISCONSIN DENTAL SLEEP MEDICINE NPI 1558549451

NPI Information

WISCONSIN DENTAL SLEEP MEDICINE is a dental laboratory in Wausau, WI. The provider is a commercial laboratory specializing in the construction of dental appliances that conform to a dentist's specifications including the construction of dentures (complete or partial), orthodontic appliances, bridgework, crowns, and inlays. WISCONSIN DENTAL SLEEP MEDICINE NPI is 1558549451. The provider is registered as an organization entity type.

The provider's business location address is:

413 JEFFERSON ST
WAUSAU, WI
ZIP 54403-433
Phone: (715) 845-6419

The provider's authorized official is Ronald S Prehn .
The authorized official title is President and has the following contact phone number (715) 845-6419.

The enumeration date for this NPI number is 2/4/2008 and was last updated on 2/4/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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