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Organization
WISCONSIN DENTAL SLEEP MEDICINE
Active
Organization
WISCONSIN DENTAL SLEEP MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD S PREHN D.D.S (PRESIDENT)
(715) 845-6419
Entity
Organization
Contact information
Practice address
413 JEFFERSON ST, WAUSAU, WI 54403-5433
(715) 845-6419
Mailing address
413 JEFFERSON ST, WAUSAU, WI 54403-5433
(715) 845-6419
Taxonomy
Speciality
Code
Description
License number
State
292200000X
Dental Laboratory
Primary
3010
WI
Other
Enumeration date
02/04/2008
Last updated
02/04/2008
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