Individual
BEN PAUL WASLESKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7207 RIVER TRAIL DR, WESTON, WI 54476-7710
(715) 581-2368
Mailing address
7207 RIVER TRAIL DR, WESTON, WI 54476-7710
(715) 581-2368
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
100161315
WI
Other
Enumeration date
07/10/2017
Last updated
07/21/2022
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