Organization
BULL FALLS DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WYN STECKBAUER (OWNER)
(920) 410-7900
Entity
Organization
Contact information
Practice address
211 N 3RD AVE, WAUSAU, WI 54401-4411
(715) 845-7154
Mailing address
2300 WITZEL AVE, OSHKOSH, WI 54904-1700
(920) 235-3251
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/20/2021
Last updated
10/18/2023
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