NPI 1558549451

Wisconsin Dental Sleep Medicine

Organisation Dental Laboratory Wausau, WI

Practice location

Address: 413 Jefferson St, Wausau, WI 54403-5433
Phone: (715) 845-6419

Authorised official

Name: Ronald S Prehn
Title: President
Phone: (715) 845-6419

Registered specialties

Dental Laboratory Primary

Laboratories Taxonomy 292200000X Licence 3010 (WI)

Other Dental Laboratory providers in Wisconsin →

Registry record

NPI: 1558549451
Entity type: Organization
NPI issued: 4 Feb 2008
Record last updated: 4 Feb 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.