Organization
WAUSAU ORAL SURGERY AND DENTAL IMPLANT CENTER, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PARIMAL SAPOVADIA DMD (ORAL SURGEON/PRESIDENT)
(715) 845-4511
Entity
Organization
Contact information
Practice address
3000 WESTHILL DR, SUITE 301, WAUSAU, WI 54401-3795
(715) 845-4511
(715) 845-1898
Mailing address
3000 WESTHILL DR, SUITE 301, WAUSAU, WI 54401-3795
(715) 845-4511
(715) 845-1898
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
5943-15
WI
Other
Enumeration date
09/08/2016
Last updated
09/08/2016
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