Organization
WOLF RIVER DENTAL LLC
Active
Parent organization
STEPPING STONE DENTAL LLC
Other names
Zander Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
STEPPING STONE DENTAL LLC
Authorized official
TIMOTHY MATHISON (PRESIDENT & CEO)
(608) 709-8303
Entity
Organization
Contact information
Practice address
152 WOODLAWN DR, SHAWANO, WI 54166-2200
(715) 526-3314
Mailing address
152 WOODLAWN DR, SHAWANO, WI 54166-2200
(715) 526-3314
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/07/2016
Last updated
04/07/2016
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