Organization
SLEEP HEALTH WISCONSIN LLC
Active
Organization
SLEEP HEALTH WISCONSIN LLC
Active
Parent organization
BAY PARK SMILES LLC
Other names
Aaron Bushong DDS
Organization subpart
Yes
Provider details
NPI number
Legal business name
BAY PARK SMILES LLC
Authorized official
AARON BUSHONG DDS (OWNER)
(715) 573-3546
Entity
Organization
Contact information
Practice address
1052 BEL AIRE CT, GREEN BAY, WI 54304-5015
(920) 499-2121
Mailing address
301 N 17TH AVE STE 200, WAUSAU, WI 54401-4225
(715) 573-3546
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/12/2023
Last updated
04/23/2024
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