Organization
FIRST IMPRESSIONS SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARL J HASH DDS (OWNER)
(715) 842-4649
Entity
Organization
Contact information
Practice address
413 N 17TH AVE, WAUSAU, WI 54401-2910
(715) 842-4649
(715) 842-7331
Mailing address
413 N 17TH AVE, WAUSAU, WI 54401-2910
(715) 842-4649
(715) 842-7331
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
3444
WI
1223P0221X
Pediatric Dentistry
Primary
4970
WI
1223P0221X
Pediatric Dentistry
5001555
WI
1223P0221X
Pediatric Dentistry
5059
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38388300
—
WI
Enumeration date
03/10/2006
Last updated
08/22/2020
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