Advanced Dental Professionals, Llc | |
617 Jackson St Wausau WI 54403-5550 | |
(715) 842-0765 | |
Not Available |
Full Name | Advanced Dental Professionals, Llc |
---|---|
Speciality | Dentist |
Location | 617 Jackson St, Wausau, Wisconsin |
Authorized Official Name and Position | Olga Grenova (DIRECTOR OF ACCOUNTING) |
Authorized Official Contact | 6088332213 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Advanced Dental Professionals, Llc 617 Jackson St Wausau WI 54403-5550 Ph: (715) 842-0765 | Advanced Dental Professionals, Llc 617 Jackson St Wausau WI 54403-5550 Ph: (715) 842-0765 |
NPI Number | 1306359450 |
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Provider Enumeration Date | 11/13/2017 |
Last Update Date | 11/13/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306359450 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
News Archive
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