Organization
DR STEPHEN REISNER DENTISTRY SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN D REISNER DDS (OWNER)
(715) 532-5606
Entity
Organization
Contact information
Practice address
120 1ST ST S, LADYSMITH, WI 54848-1801
(715) 532-5606
Mailing address
120 FIRST ST SO, LADYSMITH, WI 54848
(715) 532-5606
(715) 532-9675
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0003677
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33489100
—
WI
Enumeration date
11/29/2006
Last updated
01/25/2013
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