Organization
SWEET TOOTH PEDIATRIC DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRITTANY ZAMUDIO (OFFICE MANAGER)
(360) 991-6098
Entity
Organization
Contact information
Practice address
311 FINANCIAL WAY STE 200, WAUSAU, WI 54401-4288
(715) 214-1234
(714) 214-1235
Mailing address
118600 SUNSET RIDGE DR, STRATFORD, WI 54484-4428
(715) 214-1234
(715) 214-1235
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
01/17/2023
Last updated
01/17/2023
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