Organization
MOSINEE SMILES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AARON J BUSHONG DDS (DENTIST/OWNER)
(715) 573-3546
Entity
Organization
Contact information
Practice address
1103 PINE ST, MOSINEE, WI 54455-1160
(715) 693-3255
Mailing address
1103 PINE ST, MOSINEE, WI 54455-1160
(715) 693-3255
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/08/2020
Last updated
12/08/2020
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