Individual
MR. THOMAS J TESSENDORF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
215 5TH AVE, EAU CLAIRE, WI 54703-5698
(715) 832-3100
Mailing address
215 5TH AVE, EAU CLAIRE, WI 54703-5698
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6880-15
WI
Other
Enumeration date
05/15/2012
Last updated
04/24/2019
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