# SWEET TOOTH PEDIATRIC DENTISTRY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225743941
- **Authorized official:** MRS. BRITTANY ZAMUDIO (OFFICE MANAGER)
- **Authorized official phone:** (360) 991-6098

## Contact information

- **Practice address:** 311 FINANCIAL WAY STE 200, WAUSAU, WI 54401-4288
- **Practice address phone:** (715) 214-1234
- **Practice address fax:** (714) 214-1235
- **Mailing address:** 118600 SUNSET RIDGE DR, STRATFORD, WI 54484-4428
- **Mailing address phone:** (715) 214-1234
- **Mailing address fax:** (715) 214-1235

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0221X | Pediatric Dentistry | — | NULL | Yes |
| 1223P0221X | Pediatric Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 01/17/2023
- **Last updated:** 01/17/2023